EDI is not just about submitting claims electronically —that’s just the tip of the iceberg! EDI is about electronic reports, Electronic Funds Transfer (EFT), Beneficiary Eligibility, and much, much more!

We all know the process of dropping a letter in the mailbox and hoping it makes it to the intended destination intact. But, did you know paper claims take longer to enter into the system? It’s true. First the biller must complete the paper HCFA 1500 (12/90) form which must be purchased. The claims are then mailed and delivered to Medicare. We open the envelopes, separate the forms, microfilm the claims, and put the forms back together. The batch of claims is given to a claims examiner and manually keyed into the system. It is such an involved process—starting with you—the biller. Electronic billers can receive reports to verify that the claims were accepted into the processing system within 24 hours after submission. Paper claims would not even have reached us by then!

But we’re here to help because EDI can change all that for you! Becoming an electronic biller will save you so much time and money, you won’t know how you survived without it. Here are some of the many advantages you will receive as an electronic biller:

1. Eliminates paperwork and reduces errors, therefore, claims process more accurately.
2. Improves cash flow (14 day payment floor for HIPAA-compliant claims) which saves time and money. Paper claims are not paid until 29 days after they reach us.
3. Flexibility. Unlimited number of claims accepted 24 hours a day, 7 days a week for dial-up submitters.
4. Free telephone support from the EDI Help Desk.
5. Security (unique password and submitter ID number).
6. Receive reports verifying receipt of claim submission and acceptance into the processing system in 24 hours.
7. Free Medicare software; Medicare Claims Express (MCE)-(Part B PA) and PC-ACE Pro32 (Part B MD/DCMA/DE).
8. Value Added Incentives: Electronic Funds Transfer (EFT), Electronic Remittance Advice (ERA), Beneficiary Eligibility, and batch claims status inquiries. Please note that some of these items may require you to purchase additional software from your vendor.

Not sure you want all the EDI all at once? Try electronic claim submission to start, and we guarantee you will want even more electronic services soon after.