An Electronic Data Interchange (EDI) health claims network can save time and money for both healthcare payers and providers.

An EDI health claims network works like any other Electronic Data Interchange networks that have been utilized by the business-to-business community. An EDI network utilizes computers and the Internet to exchange business documents between companies. Health care network EDI users file medical claims and bills directly between their respective computer systems rather than filling in paper forms and then sending them through the mail, telex, or fax machines.

Healthcare providers and payers wanting to utilize an EDI health claims network also need to be aware of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. HIPAA was passed to protect an individual’s rights to privacy in regards to health care matters, including the sharing of confidential patient information via EDI health claims networks.

EDI Health Claims Network Benefits

• Cost reductions
• Increased productivity
• Eliminates human errors
• Reduction in rejected claims
• No paper forms, envelopes, or stamps needed
• No multiple re-keying or re-typing of claims forms
• No faxing or mailing expenses
• Faster payment turn-around times

At A&G Healthcare we offer fully HIPAA compliant and EDI ready services and solutions tailored to meet the needs of both payors and providers. We are leaders in the provision of out-of-area/network claims, negotiated discounts, bill reviews, medical audits, and health care funding.

A&G is a member of one of the largest health claims networks in the United States with access to 55,000 hospitals/ clinics, and more than 1-million healthcare providers. Our clients can save anywhere from 15% to 50% on their health claims costs using our solutions and EDI network.

Utilizing an EDI health claims network is something more and more health care providers are turning to because of what it means to their bottom line… increased profitability! Using an EDI health claims network results in improved office productivity and improved patient relations.

Call 972-312-8589 x112 or email info@aghealth123.com to learn more about our EDI health claims network and other health care solutions.