EDI & Clearinghouse Setup

Benefits of EDI & clearinghouse setup by IMBS

We stand up reliable claim and remit pipelines with your clearinghouse, align payer connections, and sync eligibility cadence with scheduling-reducing manual touchpoints, rework, and submission delays. Posting within 24 hours and weekly files keep variance handling fast and visible.

Claims & remits pipelines

Connections are tested end-to-end so claims move cleanly and ERAs post quickly—exposing underpayments early.

Payer connection management

Trading partners are added/maintained; we monitor for policy or criteria changes that impact submissions.

Eligibility cadence

Eligibility checks are timed to scheduling: four days ahead, then one day prior and day-of to capture changes.

Submission QA

Edit rules and validation steps reduce avoidable rejections and speed payer decisions—feeding fewer items into A/R queues.

Our EDI setup lets you concentrate on care

With healthy connections and rapid posting, teams spend less time fixing files and more time serving patients; weekly EOB/denial reporting drives quick action.

Cutting-edge tools
that drive performance

Monitoring and reporting make your revenue file flow transparent.

Daily intake & 24-hour posting

ERAs/EOBs are posted within 24 hours to keep ledgers current and surface variances fast.

Denial trend loop

Denials within 24-48 hours of receipt; insights feed upstream checklists to prevent repeats.

High-balance & complicated queues

$3k balances pulled 30 days prior; long-unpaid denials get twice-weekly touches until resolved.

See What Healthcare Providers Say About Us 💜
Reviewed on
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4.9
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Contact us

Which of these challenges are you facing as a provider?

  • I am facing issues with denied claims.
  • I am struggling to collect on accounts receivable timely.
  • I have problems collecting co-payments upfront from my patients.
  • I am unable to find an EHR software specific to my practice.
  • I want to avoid medical billing errors.
 
Your benefits:
What happens next?
1

We schedule a call at your convenience.

2

Discovery & consulting: goals, data access, and scope.

3

Proposal & plan: services, SLAs, pricing, and timeline.

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