The leading Medicaid billing software that bolts onto your existing tools.
From electronic visit verification to personal care management and case management systems - EDI Autoclaim bolts right on.

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.

EDI Autoclaim is:

  • 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:

Features and Functionality

  • 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:

  • sending incomplete claims
  • billing for invalid diagnosis codes
  • billing for incorrect rates
  • duplicate claim-related denials

  • Self Direction Payments Managed

    $22.83 Billion

  • Number of Annkissam projects completed or in progress

    650

  • Number of Consumers served by Annkissam Products

    376,233

  • “Of course, I said how wonderful you all are! I praised your customer service and your software. Shared the painless changes from ICD9 to ICD10 codes."

    –EDI Autoclaim user in Massachusetts

  • "Using this software, I get to brag to our executive team about how it does exactly what you said it would and how we don’t have any problems. I love using this software."

    –EDI Autoclaim user in Pennsylvania

  • “It’s been a pleasure working with you thus far and I have learned a lot from you. You have been awesome at training!"

    –EDI Autoclaim user in Kentucky

Learn more or schedule a demo

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