EDI exchange
- Increase claim adjudication rates with Claimsubmit compliance checking; customized to each payer system.
- Flat rate transaction cost structure
- Online reporting
- 275 transaction handling for paperwork, medical records, and attachments
- Web service integration with existing platforms
- Data conversion and transaction handling
- Secure and compliant
- Trading Partner management
- Handle all HIPAA x12 transaction sets (batch and real time)
- Application development and hosting
- Troubleshoot existing processes
- EDI best practices consulting
OCR/Imaging services
- Enrollment form conversion to 834 transaction sets
- CMS 1500/UB04 paper conversion to 837 transaction sets
- 275 paperwork processing and image handling and routing
- Image only, storage, and retrieval
End to end claim adjudication & auditing
- Post claim adjudication auditing and encounter correction.
- Adjudicate claims in a mirrored environment for auditing and metrics.
- Pre Submission Claim Editing and Scrubbing
- CMS Compliance and SLA Guarantees
- Legacy system integration and Basic programming services; immediately reduce manual claim processing time and costs.
Complete mail room services
- Turn your operation into a completely paperless environment.
- Easily track and route EDI/paper claims, medical records, trip tickets, other attachments, enrollment forms electronically within your organization and third parties.
- Claim checkout and inventory management application.
- Access image data through your existing payer and CMS software and systems.
Legacy system integration & programming
- Avidity provides a number of programming options to increase legacy system auto adjudication rates without investing in new claims software.
- Mainframe front end data management.
