Insights & Resources
The future of healthcare is now, but the path forward isn’t always clear. We’ve compiled some resources to help you on your journey.
Very responsive and genuinely helpful...
“Sometimes in business you luck out! The team at eMEDIX have been very responsive and genuinely helpful as we have stepped through the implementation, testing, and validating at production. We would like to thank the team. We certainly feel comfortable working with them.”
— Peter Bunting, Visual Outcomes
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The best way to avoid pitfalls is to track your medical bill’s progress through the steps of its life cycle.
Must-haves for your medical clearinghouse
The faster and more accurately a clearinghouse processes and returns your claims, the faster you will be paid. So...
Medical Necessity
Compares claim information to LMRP policies
HCPCS Validity
Checks any keyed claim information and verifies the most current code.
Compliance
Confirms that all claims data meets CMS requirements for code compliance.
Procedure Codes
Level I (CPT-4)
Level II (HCPCS)
ICD-10 Specificity
Human-Readable
All ERAs are translated into a standardized human-readable electronic EOB.
Search Function
ERAs searchable by: payer, check number, patient information, or provider.
24/7/365
Receive ERA files from payers 24 hours a day, 7 days a week, 365 days a year.
EOBs & PM
Convert all your paper EOBs and auto-post in the Practice Management (PM) software.
View/Print
View/print batches of remits or generate a remit for a specific patient.
835 Storage
Stores all 835s and makes them available at any time.
Secondary EOBs
Create secondary claims without returning to your PM software.
Reporting
Choose to either standardize or customize reports within eMEDIX ONLINE according to user preferences.
Filter/Sort
Filter or sort reports according to user specifications.
Accessibility
View reports online or save them for future review on your desktop.
Manual Uploads
Professional and institutional claims can be uploaded manually.
HIPAA Compliance
Claims are converted while maintaining PHI protections to meet HIPAA compliance protocols.
Control Claims Assignment
Easy Submission
With eMEDIX ONLINE, providers can easily submit secondary and tertiary claims.
Real-time Payer Submission
Pre-check
Providers can easily pre-check patient insurance eligibility before claims are sent to the payers.
Eligibility Checks
Customized eligibility checks with automated and manual checks.
On-demand Eligibility
Eligibility checks are available, on-demand, for each claim with no prior data entry required.
Eligibility Error Flags
eMEDIX ONLINE’s innovative software will add an error flag to the corresponding claim for each eligibility check in a non-eligible reaction occurs.
Responses
Each eligibility response is linked to the corresponding claim in human-readable form.
Notifications
Automated notifications are generated when the claims status check has finished running
Real-time Status
Easily check each claim’s status within eMEDIX ONLINE without any additional data entry requirements.
Payer Status Attached to Each Claim
Customization
Reports and status checks can be customized or set to auto-run.
Payer Checks
Easily customize status checks with automatic payer claim status checks at set intervals.
Medical Necessity
Compares claim information to LMRP policies
HCPCS Validity
Checks any keyed claim information and verifies the most current code.
Compliance
Confirms that all claims data meets CMS requirements for code compliance.
Procedure Codes
Level I (CPT-4)
Level II (HCPCS)
ICD-10 Specificity
Human-Readable
All ERAs are translated into a standardized human-readable electronic EOB.
Search Function
ERAs searchable by: payer, check number, patient information, or provider.
24/7/365
Receive ERA files from payers 24 hours a day, 7 days a week, 365 days a year.
EOBs & PM
Convert all your paper EOBs and auto-post in the Practice Management (PM) software.
View/Print
View/print batches of remits or generate a remit for a specific patient.
835 Storage
Stores all 835s and makes them available at any time.
Secondary EOBs
Create secondary claims without returning to your PM software.
Reporting
Choose to either standardize or customize reports within eMEDIX ONLINE according to user preferences.
Filter/Sort
Filter or sort reports according to user specifications.
Accessibility
View reports online or save them for future review on your desktop.
Manual Uploads
Professional and institutional claims can be uploaded manually.
HIPAA Compliance
Claims are converted while maintaining PHI protections to meet HIPAA compliance protocols.
Control Claims Assignment
Easy Submission
With eMEDIX ONLINE, providers can easily submit secondary and tertiary claims.
Real-time Payer Submission
Pre-check
Providers can easily pre-check patient insurance eligibility before claims are sent to the payers.
Eligibility Checks
Customized eligibility checks with automated and manual checks.
On-demand Eligibility
Eligibility checks are available, on-demand, for each claim with no prior data entry required.
Eligibility Error Flags
eMEDIX ONLINE’s innovative software will add an error flag to the corresponding claim for each eligibility check in a non-eligible reaction occurs.
Responses
Each eligibility response is linked to the corresponding claim in human-readable form.
Notifications
Automated notifications are generated when the claims status check has finished running
Real-time Status
Easily check each claim’s status within eMEDIX ONLINE without any additional data entry requirements.
Payer Status Attached to Each Claim
Customization
Reports and status checks can be customized or set to auto-run.
Payer Checks
Easily customize status checks with automatic payer claim status checks at set intervals.
