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Medical Billing Solutions

The EDIEngine Medical Billing Solution (eMBS) is web based and provides patient database,
medical billing, direct payer connectivity, a reconciliation module, reports module, lookup
libraries, and an automated and secured way of making the claim life cycle management more
efficient and cost effective. This solution is HIPAA enabled and natively handles all data in
HIPAA compatible formats with our EDIEngine X12N translator embedded. This solution is an
ideal cost effective alternative for small to medium sized Billing Service Bureaus, Hospitals,
Clinics and Healthcare BPOs.

The main features of our EDIEngine Medical Billing Solution are:

• Productivity enhancements that increase the billing efficiency
• Privilege based access; Process driven approach
• Automated 997 and 835 processing
• Eligibility Enquiries, Claims Status modules
• Customizable data edits and business rules
• HCFA-1500, UB-92, ADA form based data entry, editing and batch printing
• Variety of medical code and standard table lookup
• Audit trail and viewing mechanism
• Reports module to create customized reports
• Portal for provider access
• Direct Payer connectivity and multiple payer support
• Complete Claim life cycle management
• Standard Secure transportation support
• Open database and standard Internet browser support

 


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