Payer Solutions

EDS Payer Solutions
EDS offers payers a single-vendor solution for the entire claim lifecycle. Our Gateway represents a major strategic decision because it allows payers to exit the claims processing business altogether. EDS offers competitive pricing and enhanced value throughout the entire claim cycle, from pre-adjudication to post-adjudication, including mailroom outsourcing, document scanning, data capture, document retrieval, enhanced edits, eligibility, claim status and routing. On payer's behalf, EDS will accept all electronic claims submitted from any direct provider and or any clearinghouse. Typical results offer higher EDI penetration, which equals greater savings and eliminates EDI "churn", due to EDS's extensive provider and vendor connectivity.


Features:

• Batch Claims
• Real Time Claims
• Real Time Eligibility
• Real Time Claim Statuses
• Custom EDI Conversions
• Paper to EDI Conversions
• Electronic Remittances (EOB's)
• Managed Gateways

Benefits:

• Reduction of FTEs needed to handle multiple vendor connections and relationships
• Higher EDI penetration
• Increased auto-adjudication rates as a result of combined solutions
• Savings due to elimination of per transaction fees; elimination of multiple vendor connections results in lower staff requirements

E-mail: Sales