Optimize Clinical Quality & Streamline Operations with Actionable Insights
Rev Up Your Success with FusionEDI
Accuracy, automation & integration. Start using a better medical billing clearinghouse that does the trick without any fuss. With recent regulation changes, navigating the healthcare revenue cycle can be tricky. Understanding what the healthcare providers needs to comply with can be costly. That is why FusionEDI is the best and affordable medical billing clearinghouse software on the market, guaranteed to help save time and get you paid faster!
Clear Up Claims Bottlenecks with Ease!
FusionEDI provides complete accuracy with automation & integration to turn painstakingly long process of claims into a fast and efficient automated process.
- Quick integration to submit claims and get paid faster than ever.
- Automate posting insurance payments and receive electronic remittance advice (ERA) reports and save time.
- Receive detailed receipts of all electronic funds transfer, and post insurance payments or reconcile balances automatically.
- Verify insurance eligibility in real-time to eliminate uncollectible revenue from patients with invalid or insufficient insurance benefits.
Integrated HIPAA-Compliant Clearinghouse Solutions
FusionEDI offers great convenience by integrating all electronic claims and remittance procedure with our medical billing software. You can submit electronic claims to several insurers, receive electronic remittance advice (ERA) reports and verify insurance eligibility as well in a secure manner that meets the strict standards and guidelines laid down by a HIPAA.
Here’s How FusionEDI Works
When you post charges, claims are automatically scrubbed for error-free accuracy within just seconds. You can immediately submit claims to our networks of carriers.
You can also keep track of all your claims with our integrated claim submission reports that gives a real insight into what has been happening with your claims.
Key Features
Electronic Claims
Submit insurance claims electronically and get paid faster. FusionEDI allows you to submit electronic claims to numerous payers and insurance companies and receive detailed and timely reports about the claim processing with status updates on your claims.
Claims Scrubbing
Submit insurance claims electronically and get paid faster. FusionEDI allows you to submit electronic claims to numerous payers and insurance companies and receive detailed and timely reports about the claim processing with status updates on your claims.
Claims Analytics
Submit insurance claims electronically and get paid faster. FusionEDI allows you to submit electronic claims to numerous payers and insurance companies and receive detailed and timely reports about the claim processing with status updates on your claims.
Electronic Claims
Working the denials and rejections has never been easy, but with FusionEDI claim follow up module you can track and chase claims before they fall into cracks and never get paid.
Sent File & Claim Status Reports
FusionEDI provides multiple-level reporting as your claims make their way through the submission and adjudication process as well as reviews all of your claims and return internal validation reports to highlight claims with missing or incorrect information, like missing patient information, or incorrect policy numbers.
Secondary Claims Processing
For clients with multiple insurance coverage, FusionEDI lets you send primary and secondary electronic claims in the industry-standard format directly to payers and commercial insurance companies with ease.
User-Friendly Interface
FusionEDI is a premier choice for all medical claims processing. Our clearinghouse software is built by healthcare experts for healthcare experts, upholding the exceptional standards with regards to customer service, as well as in compliance with HIPPA guidelines.
Electronic Remittance Advice (ERA)
Electronic remittance advice or ERA will save you precious time and get you paid faster by automatically posting insurance payments. You can receive ERA reports, receive a detailed receipt of an electronic funds transfer (EFT), and also use ERA reports to reconcile balances.
Patient Statement Services
Forget about paper statements or delays and make it easy for your staff by using our automated Patient Statement services. FusionEDI’s state-of-the-art system sends out itemized electronic statements detailing what each patient has to pay, including service dates, charges, and transaction descriptions along with the patient's demographic.
Insurance Eligibility
ncrease collections by verifying every patient's insurance eligibility and eliminate uncollectible revenue from patients with invalid or insufficient insurance benefits. Verify insurance prior to appointment scheduling and receive a real-time response with complete details about the patient's benefits.
Complete Credentialing & Enrollment Services
We offer initial and ongoing Provide Credentialing as our dedicated team can take care of the long and strenuous process. Our team is well experienced in all regions and knows the ins and outs of each and every government and commercial payer credentialing. Here’s how we do it:
- Team of experts to track re-credentialing deadlines and initiate, and complete the process each time your practice is due for re-credentialing.
- Help your practice gather the necessary background and demographics information.
- Enroll providers for CAQH and assist them with profile maintenance and record update.
- Ensure preparation of all necessary documentation required before submission.
- Manage all follow-up tasks like verification and communication with the payer organizations.