Benefits of EDI & clearinghouse setup by IMBS
We establish reliable claim and remit pipelines with your clearinghouse, align payer connections, and synchronize eligibility checks with scheduling—reducing manual touchpoints, rework, and submission delays. Posting within 24 hours and weekly file management keep variance handling fast and transparent.
Claims & remits pipelines
Connections are tested end-to-end, so claims move smoothly and ERAs post quickly — exposing underpayments early.
Payer connection management
Trading partners are added/maintained; we continuously 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 accelerate payer decisions — feeding fewer issues into A/R queues.
Our EDI setup lets you concentrate on care
With reliable connections and rapid posting, your teams spend less time fixing files and more time serving patients. Weekly EOB and denial reporting ensures issues are addressed quickly.
Cutting-edge tools
that drive performance
Daily intake & 24-hour posting
ERAs/EOBs are posted within 24 hours to keep ledgers current and identify variances quickly.
Denial trend loop
Denials are processed within 24–48 hours of receipt, and insights are fed into upstream checklists to prevent recurring issues.
High-balance & complicated queues
Balances over $3,000 are flagged 30 days in advance, and long-unpaid denials receive twice-weekly follow-ups until resolved.
