Partners in Clearinghouses
On behalf of our clients and prospective clients, e-MDs’ philosophy is to provide you with a choice of EDI vendors so you can find one that best fits your needs. All of the organizations we work with have excellent capabilities and we work together with them to ensure your success. Our software has also been built to allow you to build your own connectivity so you have the flexibility to work with other organizations or connect directly to payers.
TriZetto Provider Solutions - (formerly Gateway EDI) - is a preferred clearinghouse partner of e-MDs since 2003. TriZetto Provider Solutions helps practices maximize revenue by securing accurate reimbursements, decreasing rejections and improving payment turnaround. TriZetto Provider Solutions’ solutions include electronic claims processing, eligibility verification, point-and-click access to identify and recover missing revenue, automated secondary claims and electronic remittance advice and tools that ease patient payment collection. Together with e-MDs, TriZetto Provider Solutions helps increase revenue, save time and eliminates paperwork. For decades, TriZetto Provider Solutions has served the health care industry, and we put this experience to work. And partnered with e-MDs, TriZetto Provider Solutions’ capabilities are unparalleled.
TriZetto Provider Solutions recognizes outstanding performing practices through its 99% Club. The accomplishment gains a practice efficiency and financial benefits as a result of their efforts. When 99% of claims are submitted error free an office is recognized as a 99% Club member. As TriZetto Provider Solutions and e-MDs continuously work together to make the claims process easier for their clients – many mutual clients are continuously achieving a less than 1% rejection rate.
Learn more about TriZetto Provider Solutions and their partnership with e-MDs at www.gatewayedi.com/emds or by watching this video . Contact their e-MDs dedicated sales representative, Jerry Winkelmann, at 800.969.3666 x1704 or email@example.com .
Navicure, Inc. - Navicure is a leading Internet-based medical claims clearinghouse that helps physician practices increase profitability through improved claims reimbursement and staff productivity. Serving over 20,000 healthcare providers in practices nationwide, Navicure’s solutions automate account receivables processes, including primary and secondary claims reimbursement; patient eligibility verification; rejected and denied claims management; electronic remittance and posting; claims and remittance reporting and analysis; and patient statement processing. Navicure’s solution is supported by its unique 3-Ring™ Client Service. Navicure is a member of the Medical Group Management Association®’s (MGMA®) AdminiServe® Partner Network and also received Best in KLAS™ distinction for the clearinghouse services market segment as part the 2010 Top 20 Best in KLAS Awards: Software & Professional Services report. Navicure earned the same distinction in 2008. KLAS is the leading source of information on healthcare information technology vendor performance. Navicure is also the founding sponsor of icd10hub.com, a free educational website devoted to making physician practices’ transitions to ICD-10 and 5010 easier. Questions? Contact Navicure at 877-577-4826.
Optum™ provides comprehensive electronic data interchange (EDI) and patient billing and payment solutions that seamlessly integrate with practice management and hospital information systems to simplify routing health care transactions to virtually all payers. This solution enables providers to streamline administrative processes while minimizing claims errors, reducing costs, accelerating payment, and improving productivity. Optum’s provides a web-based EDI system that solves providers’ claims-processing problems without the need to rip and replace. In addition, its modular solutions enable optimal use of providers’ core systems while helping to maximize workflow for an enriched data stream, faster remittances, and improved cash flow. For more information, please call 800.341.6141 or visit www.OptumInsight.com/EDI
RelayHealth is an intelligent network providing comprehensive tools and connectivity for providers and payers to exchange healthcare information, manage the revenue cycle and improve financial performance. By integrating with major software vendors such as e-MDs, RelayHealth offers value-added benefits and superior transaction connectivity. The results are reductions in claim denials, reduced operational costs, shorted payment cycle time and faster reimbursements. RelayHealth supports the entire revenue cycle from real-time access to insurance eligibility, through claims compliance and submission, to remittance advice. RelayHealth helps over 200,000 physicians nationwide, and is one of the top leaders in healthcare with connections to 90% of the U.S. pharmacies, 2,000 hospitals, over 1,900 payers, and securely processes more than 15 billion healthcare transactions annually.
ZirMed is a nationally recognized leader in delivering revenue cycle management solutions to healthcare providers, serving more than 100,000 healthcare providers. ZirMed leverages the power of technology to cure administrative burdens and increase cash flow, enabling providers to not just survive but thrive. ZirMed solutions include eligibility verification, credit/debit card processing, check processing, claims management, coding compliancy and reimbursement management, electronic remittance advice, patient statements, patient e-commerce solutions, and lock box services. ZirMed is ranked among Inc. magazine’s 500 fastest growing companies and Healthcare Informatics magazine’s Top 100 companies. For more information about ZirMed, visit www.zirmed.com.