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eMEDIX clearinghouse delivers an industry-leading claims rate

Enjoy fast reimbursements, full transparency, and minimal denials

eMEDIX Reimbursement Solutions relies on an industry-leading clearinghouse with more than 30 years' experience in claims management.

eMEDIX Online is our utility tool that allows you to handle claims, ERA, EPS, and eligibility in one place. eMEDIX RCM is a revenue cycle management solution that provides a flexible, easy-to-use application designed to improve your bottom line.

eMEDIX has a dedicated interface team working on establishing secure data exchanges between Practice Management software, EMR solutions, and all government registries.

11.2 millionClaims Processed
in 2019
99%Clean Claims Rate

Compared to 90% for industry best practices.
2.1 millionStatement/Collection
Letters in 2019

What are the unique differentiators for eMEDIX?

Processes claims in real-time, giving the customer one of the fastest turn-around times in the industry

Delivers big-time features without big-time investments

Converts claims from institutional to professional

Key features and benefits
 

  • Payor Monitoring
  • Easy online claims correction
  • Automated claims status and eligibility checks
  • Integration with your PM/EHR systems
  • Direct clearinghouse support that is US based
  • Customized edit engine that services behavioral health
  • Easy denial & appeal workflows to reduce human intervention
  • Simplified enrollment process managed by eMEDIX
eMEDIX Online
PRE-Confirm
Statement Manager
Revenue Resolve
RCM

Access your data any time with eMEDIX Online


eMEDIX Online is our web-based solution that lets you access your data from any location. Our clearinghouse interface allows you to manage all of your electronic transactions (claims, remittances, eligibility, claim status, patient statements, and reporting) with one easy connection.

With your valid user ID and password, all transactions are available within eMEDIX Online 24/7/365.

  • Higher accountability
  • All claim types (professional, institutional, dental, worker's compensation, auto accident)
  • Electronic remittance advice with ERA Remit Manager
  • Reporting and analytics with Response Manager
  • Real-time transactions

Improve your workflow and upload patient statements electronically through eMEDIX Online EPS.

Let eMEDIX take the burden of printing and sending your patients' bills. Each patient address is validated for accuracy prior to arriving at the postal service. eMEDIX alerts you of any change in address or simply forwards the bill to the correct destination.

Every statement is mailed with a pre-addressed return envelope to improve your collections rate. Our patient statement layout is uniquely designed be easily read and understood by your patients. Patients respond better and pay their balances more promptly when you use eMEDIX to send statements.

You can also customize your patient statements by adding your company logo or other graphic. Choose statement colors and layouts, add single or global messages to patient statements, or add an insert.

eMEDIX Statement Manager, an optional, searchable online utility and reporting engine, allows you to look up, view, and print statements sent in the last three months.

Set patient financial expectations with PRE-Confirm


eMEDIX PRE-Confirm sets your patient's financial expectations up front with Patient Responsibility Estimation.

PRE-Confirm is a web-based product that allows providers to calculate through the eMEDIX site what each patient will owe the provider for services rendered.

Improve Provider Experience

Individualized out-of-pocket cost estimates for each patient presented at time of service will reduce debt from provider patient balances.

Increase Patient Satisfaction

Providers will be able to inform their patients of each patient’s financial responsibility at, or before the point of service.

Pre-Calculate Out-of-Pocket Costs

Pre-calculate patient financial responsibility using data from previous payments, physician and facility fees, and the patient’s own benefit information.

Boost Staff Positivity & Productivity

Ease the burden placed on a provider's staff through provision of credible financial estimates for patients.

View digital copies of patient statements

Increase efficiency and review the statements patients are referring to when they call with Statement Manager..

Increase efficiency and review the statements patients are referring to when they call with Statement Manager.

eMEDIX Statement Manager is an important tool for your billing office. Our enhanced solution allows you to view copies of each statement exactly as they have been printed and mailed to your patients.

Send your patient statements in to eMEDIX to take advantage of this easy-to-use tool.

By adding the eMEDIX Statement Manager to your workflow, you willl immediately increase efficiency for your billing office. Your office can easily view the exact statement that a patient is referring to when they call, which allows you to be able to answer their questions confidently and expeditiously.

A new option for managing your denials

eMEDIX Revenue Resolve

Revenue Resolve is an intuitive denial management solution from eMEDIX that offers a unique approach to prioritizing your denied claims.

Revenue Resolve takes away the complex task of determining which denials to prioritize by automatically reviewing the Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Codes (RARC) combinations assigned to each claim.

Revenue Resolve simplifies your process and saves you valuable time. This effective, web-based solution helps you tackle denials with ease! Leverage Revenue Resolve to maximize reimbursement and achieve higher productivity gains.

  • Identify: Every claim in every remit is reviewed upon receipt. Denied claims are automatically imported into Revenue Resolve
  • Reconcile: Claims are prioritized based on the revenue cycle and the source or reason for denial
  • Track: Claims are assigned to staff according to your workflow
  • Prevent: Reports show your top denials, problem payers, and denial statuses
  • Reimbursement: Maximize reimbursement and achieve higher productivity gains

Work smarter with a user-friendly dashboard that enables you to see across all your denials and view remits right from the denial screen. Speed up your appeal process with ready-made templates, and stay on top of denials with twice daily e-mail alerts. Prioritize denials automatically using CORE Operating Rules Business Scenarios.

Manage and reduce denials, receive faster payments, and recover lost reimbursements

Keep track of your claims 100% of the time with eMEDIX RCM.

Keep track of your claims 100% of the time with eMEDIX RCM.

eMEDIX RCM offers full functionality in one easy to use package so that your organization can manage and reduce denials, receive faster payments and recover lost reimbursements.

RCM capabilities include uploads of professional and institutional claims by manual input (providers without a billing software program) in print image format, or ANSI format. Non-standard files are up/down converted for full HIPAA compliance.

eMEDIX RCM submits all claim files to payers in real time and according to payer specifications, 24/7/365. Other clearinghouses only submit claims once or twice per day.

Easily submit secondary and tertiary claims within RCM.

  • Real-time eligibility
  • Real-time claim status
  • Electronic remittance advice with ERA Remit Manager
  • Reporting and analytics with RCM Report Gateway

Enjoy the control of claims assignment within the application. Claims can be sorted by user in a variety of options…i.e. by payer type, dollar volume, rejection type, alpha character, NPI number, Facility etc.

Our comprehensive edits engine is designed so that you will immediately see a decrease in rejected claims.

Client success stories with eMEDIX

Connectivity and secure data exchange with eMEDIX


Connectivity is a crucial component in healthcare today.

Secure data exchange is one of the requirements for Meaningful Use Certification. eMEDIX Reimbursement Solutions has a dedicated interface team working on establishing secure data exchanges between Practice Management software, EMR solutions, and all government registries.

Integrating with eMEDIX Reimbursement Solutions leverages a vast library of reliable, existing connections.

  • Compatible with virtually all practice management systems
  • All claim types submitted with one account number
  • State-of-the-art interface engine
  • Connection options include https, ftp, sftp, web service
  • Translation services available to up/down convert to ANSI 5010 transactions to ensure full HIPAA compliance
  • Automated processes to eliminate errors and improve efficiency
  • EDI transaction management
  • New payer connections available upon request
  • Knowledgeable, professional, and approachable implementation, enrollment, support, and sales team to ensure maximum uptime and swift problem resolution

This solution is suited for practice management organizations, billing companies, and provider offices with existing ANSI formatted software, to simplify EDI connectivity and allows them to focus on their core business.

Private label all of our EDI applications. Ask us how!

Clients increase profitability with eMEDIX Reimbursement Solutions

Insurance claims and RCM made easy with eMEDIX

eMEDIX achieves CAQH CORE Phase I Certification for seamless, secure healthcare administrative data exchange

eMEDIX Reimbursement Solutions adopted by BHSA

eMEDIX Reimbursement Solutions partners with Behavioral Health Services Association

Clients increase profitability with eMEDIX Reimbursement Solutions

Better claims process thanks to eMEDIX Reimbursement Solutions

Rebecca Shealy, Vice President<br>Research & Development, eMEDIX & Interfaces
eMEDIX is the ideal solution and partner to reach your revenue goals in the most efficient and transparent way.

Rebecca Shealy, Vice President
Research & Development, eMEDIX & Interfaces

Upload claims, pull responses, and view the status of claims in the Claims Console.

Upload claims, pull responses, and view the status of claims in the Claims Console.

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