EDI Autoclaim provides the speed and accuracy needed for your Medicaid billing.
Submit claims electronically and automatically reconcile payments with the click of a button.
Check Medicaid eligibility in batch and prevent claims for ineligible consumers.
Bill any combination of state Medicaid Management Information Systems, Managed Care Organizations (MCOs), Integrated Care Organizations (ICOs), Accountable Care Organizations (ACOs) and other payers.
is a web-based HIPAA-secure Medicaid billing system used across the country.
streamlines Medicaid billing for fast billing and improved cash flow.
saves staff time by using built-in logic to ensure billing and reporting accuracy.
is highly customizable; as rules and priorities change, the system can accommodate these updates.
lets you bill without a clearinghouse to bill fast and bill right.
Bill fee-for-service, managed care and other payers
Produce batch electronic billing files including 837i and 837p files
Full-service claim scrubbing to submit your electronic claims the right way the first time
Import batch electronic remittance files to instantly mark each claim as paid, denied, or partially paid
Track the reason for denial, allowing for easy follow-up and re-billing
Benefit from robust controls to ensure accurate, speedy billing and payment
Track accounts receivable and aging by program, payer, consumer and more
Run powerful reports and use streamlined workflows
Produce a pre-populated Forms CMS 1500 and UB-04
Bill other entities with our powerful invoicing
EDI Autoclaim can be used as a stand-alone cloud billing solution, can be customized and can be an integrated module with any of FMS Engine's other modules. Click here for more information on FMS Engine.
An EDI Autoclaim client with 200 consumers saves 69 hours a week of staff time when using EDI Autoclaim instead of billing manually.
Organizations with EDI Autoclaim are typically paid 90% faster than billing manually.
EDI Autoclaim system logic results in 100% reduction in:
