EDI Claim Reconciler – Healthcare billing made easy

Reconcile Claim Acknowledgements and Claim Status Files against your source Billed Claims, file-by-file as well as claim-by-claim, in an intuitive and easy to use dashboard.

Works On Source HIPPA Transaction Files (837P, 837I, 277, 277Ca)

Import your raw 837 claims files, and your 277 response files. Doesn’t require any direct integration with your billing system, easy to implement.

APCD Post-Adjudication Health Care Claims Reconciliation Supported

Compatible with ANSI standards for APCD Post-Adjudicated Claim Reporting files for 837 code reader and 277 code reader. Reconcile claims encounter submissions against acknowledgements, discover and “work” rejected submissions, identify missing submissions, and improve reporting and efficiency. Supports the reading and reconciliation of claims submissions for the APCD Council’s All-Payer Claims Database initiative.

Reconcile File-By-File

Each 837 Healthcare Claim file is displayed on the dashboard, with a summary of the claims and the responses received.

Drill Down And Reconcile Claim-By-Claim

Drill into each 837 Claims file and reconcile each claim one-by-one.
Work rejections, export or print results, and improve cash flow and revenue cycle.

Pricing

The EDI Claim Reconciler is licensed on a yearly subscription basis, which entitles you to the latest upgrades, updates and new releases, as well as unlimited full training, unlimited technical & installation support, and Q&A including file troubleshooting throughout your subscription period.

  • CR100
    EDI CLAIM RECONCILER
  • This is a user-interface, desktop software and is licensed specifically for the 837 Claim and 277CA Claim Acknowledgement formats, and allows for installation on up to 3 individual workstations within the organization/facility. It can also be installed as a multi-user shared database.
  • $5,975 Annually
  • CR100
    EDI CLAIM RECONCILER
  • This is a user-interface, desktop software and is licensed specifically for the 837 Claim and 277CA Claim Acknowledgement formats, and allows for installation on up to 3 individual workstations within the organization/facility. It can also be installed as a multi-user shared database.
  • $5,975 Annually
  • CR100
    EDI CLAIM RECONCILER
  • This is a user-interface, desktop software and is licensed specifically for the 837 Claim and 277CA Claim Acknowledgement formats, and allows for installation on up to 3 individual workstations within the organization/facility. It can also be installed as a multi-user shared database.
  • $5,975 Annually

See what others
have to say

We have used EMS for several years now in our Patient Accounting and Finance Departments. Due to the number of payers that provide us with ERA, we needed a solution that would readily accommodate multiple payers. Previously we have used freely available version but found them limited. During our time as customers they have worked to keep their system up to date and competitive. Also they have unveiled additional functionality in the form of the EDI Utility Toolbox.

The EMS 835 Reader has been an invaluable tool to our organization.

Johnie D. Swindoll, Director of Patient Financial Services

Canyon Vista Medical Center - Sierra Vista, AZ

After using the Reader, I was impressed with the simplicity of this product. It is a well-thought-out software that is user friendly, efficient and has assisted with enhancing our productivity. They offer great customer service and truly are a pleasure to work with.

Mila Diaz, Corporate Collection Manager

Personal Touch Homecare - Bayside NY