Improve Your Entire Billing and Collections Process!

Nothing can eat up a medical professionals day like having to chase down claims lost in the maze of electronic billing and payer procedures. With TotalMD EDI, practices and billers have access to tools that help you reduce rejections, speed up payments, and increase total reimbursements.

Powerful Tools to Get Paid Faster

  • Manage your complete revenue cycle in one place

  • Instantly accessible from wherever you are

  • Get real-time claim statuses instantly

  • See instant e-responses to patient eligibility and other requests

  • Easily create and edit electronic secondary claims

  • Challenge underpayments before it’s too late with payment and denial information

  • Prove claims were filed on time by creating a “Timely Filing letter”

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  • Easily Manage Claims

    The heart of the program is its ability to manage claims for fewer errors, easier tracking, and faster payments. Far more than just a clearinghouse, TotalMD EDI offers unmatched claim status tracking, and numerous tools to help practices manage their complete revenue cycle.

    We understand how important “clean claims” are to your cash flow. That’s why our clearinghouse is designed to correct as many potential problems as possible before a claim goes out the first time. Our custom edits and payer-specific edits, combined with powerful clinical claim scrubbing, has shown to help practices increase collections and speed up payment times.

  • Scrub and edit claims (including custom edits and clinical claim scrubbing), send claims to the payer, and review payer responses.

  • Click on a claim to see its history and real-time status at the bottom of the screen.

  • Easily create and edit electronic secondary claims.

  • Challenge underpayments successfully before it’s too late with detailed, accessible payment and denial information.

  • Prove claims were filed on time with a “Timely Filing letter,” created with a single click

  • Get Instant, Online Eligibility Requests

    With TotalMD EDI, you can submit eligibility requests in a flash, see the response displayed in seconds, and instantly correct and resend requests labeled “Invalid” or “Rejected.”

    EDI Eligibility displays all eligibility requests and corresponding responses. You can search for requests and responses based on many different fields including date, status, name, and payer. If a request is returned as “Invalid” or “Rejected”, it’s easy to correct and resend.
    Need to print an eligibility request or response? With TotalMD EDI, you can print a detailed status report showing subscriber information, health benefit coverage information, co-insurance and co-payment amounts, deductible, and specialty information.

    Enjoy Flexible, Easy-To-Use Workflow Management

    Task Manager provides more than a list of tasks to accomplish or denials to appeal. It can be configured to create tasks in any area of EDIinsight. It updates automatically as tasks are finished, displaying a “dashboard” report that summarizes claim volume and current statuses.

  • Start the day with Task Manager, the default window.

  • Ensure that important EDI transactions are followed up.

  • Create tasks to take care of rejected or invalid claims, timely filing letters, denied claims, invalid eligibility requests, denied ERA transactions, and open support issues.

  • Just click on a task to begin work—no need to do a new search. If the task involves claim denials, for example, EDIinsight brings up the list of claims in that task, showing the number of items and the total dollar amount. The user merely needs to select a task, then a claim, to begin work.

  • See tasks and totals update automatically as EDI transactions are worked. Completed tasks automatically disappear from the list.

  • Display a Dashboard Report showing claim volume and the current status of claims.

    Administrators can assign tasks to others and see what tasks other staff are working on. Other staff members can create tasks for themselves to help manage their own time efficiently. Task Manager also makes it easy to spot trends and bottlenecks.