Fast Processing, Fast Reimbursement

Get paid on time with the best medical clearinghouse

Rev Up Your Success with FusionEDI

Healthcare billing can be tricky, which is why it’s important to use a clearinghouse that
provides accuracy, automation, and integration.
Start using a better clearinghouse right away; there’s no need to fuss with it. FusionEDI
is the best and most affordable healthcare billing clearinghouse software
on the market.
It’s guaranteed to help clients save time and money by providing insight into their
billable requirements

Clear Up Claims Bottlenecks with Ease!

With FusionEDI, your claims process becomes fast and efficient with complete accuracy through automation and integration.

  • You can submit claims and get paid faster than ever before with our quick integration.
  • Automatically receive and post insurance payments, and reconcile balances based on electronic funds transfers.
  • Provide real-time verification of insurance eligibility to eliminate uncollectible revenue from invalid or insufficient insurance benefits.

Integrated HIPAA-Compliant Clearinghouse Solutions

FusionEDI integrates our medical billing software with all electronic claims and remittance procedures.

With our solution, you can send electronic claims to several insurance companies, receive electronic
remittance advices (ERAs) and verify insurance eligibility in a secure manner that adheres to HIPAA guidelines.

Here’s How FusionEDI Works

Upon posting charges, claims are automatically scrubbed for error-free accuracy within seconds, and you can submit them immediately.

Our integrated claims submission reports will help you keep track of all your claims, giving you a better understanding of what is happening with them.

Key Features

Electronic Claims

Submit insurance claims electronically and get paid faster.Electronic claims can be submitted to numerous payers and insurance companies via FusionEDI, with detailed and timely status reports on the claims processing.

Claims Scrubbing

To ensure that medical claims are processed correctly, FusionEDI scrubs the data to make sure it is accurate and error-free.We ensure first-time claims are submitted to payers and reduce your staff's workload by using a rigorous error-checking system.

Claims Analytics

You can receive multiple levels of reporting as your claims pass through the submission and adjudication processes with FusionEDI. In addition, FusionEDI reviews all your claims and returns internal validation reports to highlight claims with missing or incorrect information.

Resolve Denials/Rejected Claims

The claims denial and rejection process is never easy, but FusionEDI's claim follow-up module enables you to track and chase claims before they fall through the cracks and never get paid.

Sent File & Claim Status Reports

We ensure that FusionEDI keeps you informed about all claims processing details, allowing you to see the total picture.

Secondary Claims Processing

FusionEDI allows you to send primary and secondary electronic claims directly to payers and commercial insurance companies in the industry-standard format.

User-Friendly Interface

FusionEDI is a premier choice for all medical claims processing . With our clearinghouse software, we guarantee exceptional customer service and compliance with HIPPA guidelines, all built by healthcare experts for healthcare experts.

Electronic Remittance Advice (ERA)

Your insurance payments will be automatically posted by an electronic remittance advice, or ERA which will save your time and get you paid faster.

Patient Statement Services

With our automated Patient Statement services, you can forget about paper statements and delays.The FusionEDI system sends out itemized electronic statements with patient demographics along with service dates, charges, and transaction descriptions.

Insurance Eligibility

Eliminate uncollectible revenue from patients with invalid or insufficient insurance benefits by verifying their eligibility.Receive details about the patient's benefits in real-time prior to scheduling an appointment.

Need Quality Data Delivered Promptly and Without Delays?

Complete Credentialing & Enrollment Services

As our dedicated team is capable of handling the lengthy and strenuous process of providing credentialing, we offer initial and ongoing credentialing services.Every government and commercial payer credentialing process is well known and understood by our team who has extensive experience in all regions.

Our process is as follows:

  • A team of professionals to track re-credentialing deadlines, initiate the re-credentialing process, and complete it.
  • Get the demographic and background information you need for your practice.
  • Prepare all necessary documentation before submitting.
  • Follow up on all follow-up tasks such as verifying and communicating with payers.