EDI Autoclaim provides the speed and accuracy needed for your Medicaid billing.
Master accounts receivable with automation, dashboard and reports.
Submit claims electronically and 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.
A web-based HIPAA-secure Medicaid billing system used across the country.
Specialized to meet the unique needs of Home and Community-Based Services.
Fully automated to save staff time and improve cash flow with no clearinghouse needed; submit claims the same day service is delivered.
Designed with built-in logic and robust controls to ensure fast and accurate billing, payment and reporting.
Easily integrated with existing software and tools: it bolts right on for easy interoperability.
Highly customizable; as rules and priorities change, the system can accommodate.
Configurable to meet the referring provider and National Provider Identifier (NPI) claim requirement mandated by the Affordable Care Act.
Making new state Medicaid billing requirements fast and easy. Learn more about:
Bill fee-for-service, managed care and other payers with powerful electronic claiming.
Produce batch electronic billing files, including 837i and 837p files.
Automate claim scrubbing to prevent incomplete billing and collect more on your claims the first time.
Import batch 835 electronic remittance files to instantly mark each claim as paid, denied or partially paid.
Manage aging with powerful reports and streamlined workflows.
Track accounts receivable and aging by program, payer, consumer and more.
Track reason for denial, allowing for easy follow-up and re-billing.
Produce pre-populated Forms CMS 1500 and UB-04.
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:
