Healthcare Workers' Comp EDI Solutions
Our workers’ comp clearinghouse & EDI solutions improve two-way communication between payors & providers, lower claim costs & stimulate faster revenue cycles.
Specialized to Meet Your Requirements
Our healthcare EDI solutions offer a comprehensive jurisdictional ASC X12N 837 processing capability that is specialized for workers’ comp and auto medical bill processing. Powered by RMSOA, we are a premier e-authorization, electronic communication & EDI clearinghouse provider.
What Is EDI (Electronic Data Interchange)?
Electronic Data Interchange, also known as EDI, is the computer-to-computer (digital) exchange of business documents between insurance claim payors and medical care providers. In this model, electronic exchange replaces postal mail, fax, and email methods — enhancing efficiency, lowering risk, and improving revenue cycle management.
Application Architecture
EDI Interface & Translator
EDI Standard Document
Internet to End User
A Premier Clearinghouse Service
As a premier clearinghouse service and claims processing provider, Swiftivity provides the expertise — and the EDI software platform — to assure smooth, compliant P2P communication. The EDI process requires specific formatting standards, so computers are able to read and understand documents without the need for human assistance. This means fewer errors, faster automation, and improved revenue cycles.
Coordination & Integration
We provide best-in-class prior authorization software for workers’ comp claims, tuned to improve payor-to-provider communication and improve both revenue cycle management and improved patient outcomes. It’s cost effective, easy to implement, and provides a complete audit trail of all activities.
The EDI process requires specific formatting standards, so computers are able to read and understand documents without the need for human assistance. This means fewer errors, faster automation, and improved revenue cycles.
ANSI, EDIFACT, TRADACOMS and ebXML are a few examples of EDI standards in use today. When businesses exchange documents, they must agree on the specific standard and version. In order to ensure straightforward and error-free processing of documents, a translator is used to integrate the data to internal applications.
Swiftivity® also provides best-in-class prior authorization software for workers’ comp claims, tuned to improve payor-to-provider communication and improve both revenue cycle management and improved patient outcomes. It’s cost effective, easy to implement, and provides a complete audit trail of all activities. This service can be integrated with a deeper EDI solution or can stand on its own. Swiftivity® can easily and seamlessly help you integrate EDI solutions — and support you after implementation.
Key Benefits
Eliminate Phone Tag
Improve information processing times.
Streamline Billing
Boost revenue cycle management.
Reduce Errors
Minimize & reduce processing delays & errors.
Robust Technology
Transmit in minutes with ease & accuracy.
Go Green
Eliminate the need for paper & postage.
Increase Cash Flow
Efficient processing helps to increase cash flow.