Overview

Enrolling in an Electronic Data Interchange (EDI) can be a cumbersome process that drains clinical and administrative resources. This can be particularly time intensive in environments that leverage older, legacy systems.

AGS Health can alleviate administrative burdens by helping you establish Electronic Remittance Advice (ERA)/Electronic Funds Transfer (EFT) authorization agreements for all providers across multiple clearing houses or payers. This support allows you to focus internal resources on the complex challenges that matter most, while still benefitting from the efficiencies of electronic claims, remittance, eligibility, and claims status.

Credit Balance Resolution Overview
EDI Enrollment Services Provided

SERVICES PROVIDED

  • Provide recommendations for EDI service providers that align with your needs.
  • Collection of required information and completion of enrollment forms.
  • Submission of documentation or certifications requested by the EDI provider.
  • Support in facilitating testing, integration, and security review.

BENEFITS

With electronic data exchanges and automated validation checks, EDI enrollment helps accelerate transaction processing while identifying and correcting errors to help prevent rejected claims or discrepancies.

By enrolling your organization in EDI, we can help you more closely monitor claims, examine historical claims’ payment status online, and categorize submitted claims through a structured tracking system to enhance efficiency.

EDI streamlines data exchange to reduce manual entry, processing time, and the risk of human errors, resulting in faster, more precise, and more reliable transactions that pose less stress on your team.

Interested in learning more?

Claims Management Services Thumbnail

Streamline the process of claims submission, billing edits, and reconciliation for both professional and hospital billing to reduce billing backlogs and accelerate cash.

Accounts Receivables Management Services Thumbnail

Track and collect the outstanding revenue that you deserve with greater operational efficiency and improved financial performance through effective denial remediation, as well as identifying and recovering underpayments.

Selfpay Management Services Thumbnail

Delivery of patient-friendly statements, collection attempts via outbound calls, and processing of patient payments for consistent and timely patient outreach.

Payment Posting Services Thumbnail

Full transaction services, including payment processing, manual and electronic posting, reporting of unusual adjustments, routing of denied claims, and reconciliation to ensure timely account resolution.

Credit Balance Resolution Thumbnail

Effectively manage liability risks and assist with financial stability by identifying the root causes of overpayments and resolving credit balances.

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