EDI Solutions

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Accelerating Healthcare Payments, Transparency, and Accuracy with Automated EDI Solutions

Activate the power of ImagineOne®

Transforming EDI Workflows

Empowering medical practices with seamless clearinghouse, bank posting and reconciliation, estimation, eligibility, and prior authorization tools, fueled by the power of automation and artificial intelligence.

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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.

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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.

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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.

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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.

Client Testimonials

Client Testimonials

“The biggest thing for us, working with [ImagineSoftware’s Clearinghouse], 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!” – Kerri Hall, Billing Specialists, Inc.

“Since New England Accounts Receivable Management Inc.’s inception we have put our trust in (this) clearinghouse service. I am always impressed; they are attentive and helpful, even for the smallest of problems. I would never consider leaving.” -Diane Desantis, New England Accounts Receivable Management Inc.

“We’re closing within 5 days every month with very little outside help because of how easily ERAs are flowing into the system and how simple the process is now with BankingQ.” – Rachel Stuplich, Consensio Health

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.

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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.

See the Future of Revenue Cycle Management in Action