“I love BankingQ so much. Being able to scan things into BankingQ and they do the hard work for us – we just check it and post it. It has saved me so much time. It probably does like two additional employees worth of work every month.”
EDI Solutions
Accelerating Healthcare Payments, Transparency, and Accuracy with Automated EDI Solutions
Maximize Revenue with Automation
Get paid faster by automating EDI workflows, while also enhancing visibility into your organization’s financial health.
Increase Payment Collections
Prepare patients with clear, upfront financial expectations to reduce delinquencies and improve cash flow. Accept multiple payment types—including credit, debit, ACH, and payment plans—secured by PCI Level 1 standards. Generate accurate good faith estimates to minimize billing surprises and disputes.
Reduce Missed Authorizations
Prevent costly delays by automatically flagging missing authorizations ahead of procedures. Real-time submission and tracking reduce manual work and write-offs from missed appointments.
Increase Accuracy with Intelligent Verification
Manual paper claims often see error rates up to 28 percent. By switching to electronic submission through ImagineSoftware’s clearinghouse, error rates can be reduced to 2-3 percent. This is achieved by proactively correcting mistakes in claims, ensuring a high first-pass accuracy rate, and preventing lost transactions.
Streamline Workflows
Automating EDI processes liberates teams to focus on patient care versus manual submissions, financial negotiations, or addressing exceptions and denials. ImagineSoftware’s unique rules engines allow you to customize, providing the flexibility to set-up your environment with specific service type codes and multiple procedure codes to help address manual workload challenges.
Patient Transparency
Build stronger relationships with patients by providing clear and accurate cost estimates, immediate eligibility verification, and a streamlined payment process. From accelerating patient check-in processes, to aligning payment data with their billing records, ImagineSoftware’s clearinghouse, bank posting, and patient eligibility solutions benefit both your patients’ experiences and your bottom line.
CASE STUDY
Near-Zero Prior Authorization Denials within Leading Interventional Radiology Practice
In this case study, learn how ImagineSoftware’s Prior Authorization Services helped the practice achieve 99%+ authorization accuracy, reduce authorization denials to virtually zero, and protect revenue tied to $1.2 million in claims. By improving authorization accuracy and efficiency, the practice reduced administrative burden, accelerated patient access, and enabled staff to focus on higher-value responsibilities
Key Features of ImagineSoftware’s EDI Tools
Secure & Efficient Medical Clearinghouse
Transition to faster, cleaner electronic claims with ImagineSoftware’s medical clearinghouse. The HIPPA-compliant, PHI protected, and cloud-based platform empowers teams to intelligently verify patient coverage, minimizing denials and submitting batch claims simultaneously. Integrating directly into your RCM software, capture a bird’s eye view of your practice’s clean claim ratio within a configurable dashboard.
Automated Bank Posting & Reconciliation
Focus on revenue optimization and eliminating manual processes with a full digital payment system, ImagineSoftware’s bank posting and reconciliation solution. Streamline the payment process by aligning payment data with specific patient billing records, driving both accuracy and efficiency.
AI-Driven Patient Cost Estimation
Increase patient relationships with clear and accurate cost estimates, enhancing trust, transparency, and ultimately collections. ImagineSoftware’s patient estimation solution produces a professional, easy-to-read good faith estimate (required by the No Surprises Act) of the patient responsibility that calculates patient charges against contracted rates real time.
Real-Time Patient Eligibility Verification
ImagineSoftware’s patient eligibility solution streamlines the process of insurance verification, allowing healthcare practices to access real-time information on patient coverage. This ensures timely and accurate billing, reducing the incidence of claim rejections due to eligibility issues.
Automated Prior Authorizations
Streamlining the prior authorizations process, ImagineSoftware delivers efficient, intelligent authorizations that reduce manual effort and prevent revenue losses by combining rapid processing and precision to enhance revenue cycle management. Approved authorizations automatically post for ultimate visibility to support the claim.
“[ImagineSoftware’s Clearinghouse] PHIcure has helped us the most by allowing us to see everything from start to finish.”
“The biggest thing for us, working with [ImagineSoftware’s Clearinghouse] PHIcure, has been the integration. We are no longer wasting time or duplicating work… The integration is huge. It’s a huge selling point for our clients, too!”
More from ImagineSoftware™
Discover More: AI-Driven RCM & EDI Solutions
Discover how AI-driven RCM and EDI solutions maximize revenue, streamline workflows, and drive patient transparency.
From our webinars
Clearing Claims Clutter | Clearinghouse & Claims Management Workflows, Simplified
Clear the Clutter – Experience enhancing claims processing efficiency, reducing errors, and accelerating reimbursements with ImagineSoftware’s unmatched Clearinghouse solution. Equipped with […]
From our blog
Benefits of Introducing Prior Authorization and Eligibility Solutions to your Medical Practice’s Revenue Cycle
Caroline Smith
Thursday, 06 Apr 2023
For physicians and practice administrators alike, understanding the benefits of streamlining prior authorization and eligibility processes is an important factor in […]
From our blog
Patient Engagement in Top Gear: Empowering Patients, Accelerating Revenue
Rob Gomes
Thursday, 22 Aug 2024
In the rapidly evolving world of healthcare, one challenge stands out as both critical and complex: patient engagement. This topic took […]
