Electronic Data Interchange (EDI)
PPM's electronic processing capability provides a tool that can truly accelerate reimbursement and help ensure that all monies due are collected. The EDI capability also helps control costs related to processing claims and statements. As a by product of the process, information is accessible for business reporting requirements without a paper search.
By using the leading electronic claims and electronic statement processing solutions for physicians, you have electronic access to more than 600 payor plans nationwide - HMOs, PPOs, TPAs and commercial and state payors, which benefit greatly from EDI because it's much easier to process an electronic claim. EDI reduces claim processing costs for payors and you. If a payor does not accept an electronic claim, McKesson automatically submits a paper claim, at what is still a substantial savings for users.
Using EDI with Physician Office Manager is easy because the link to McKesson's electronic commerce offering is built into the system.
Service Features
- Simplifies claim and statement processing procedures because all claims, encounters, and statements are submitted to a single processing source.
- Automates electronic statement processing, improving employee productivity.
- Reduces clerical work, including mailing and handling.
- Improves cash flow, since electronic claims processing speeds the payment process while eliminating errors.
- Provides higher for carrier acceptance rates, "problem claims" are identified and corrected before submission to the carrier.
- Allows more control of administrative costs through better reimbursement management.
- Includes toll-free provider transmissions 24 hours a day, seven days a week.
- Provides monthly statements off-site, reducing paperwork in the office.
- Automatically produces claims for secondary carriers after sufficient payment or activity has been applied by the previous carrier.
Available EDI Services
Electronic Claims Submission
Electronic Patient Statements
Automatic Remittance Notice