What We Offer: Fusion EDI Service Components

1. Onboarding & Systems Integration

Our team will work closely with your hospital or health system to integrate Fusion EDI with your existing enterprise systems EMR/EHR, practice management, billing system and clearinghouse. We handle:

• Mapping provider, payer and facility data for accurate electronic transactions
• Configuring payer rules and logic to ensure correct claim formatting
• Testing EDI transmission end-to-end (5010/5010A1 or newer, ANSI X12, etc.)
• Training your in-house staff on dashboards, workflows and exception tracking

2. Claims Submission & Workflow Automation

Once integrated, we enable automation of key workflows:

• Eligibility and benefit verification ahead of submission
• Pre-submission edits, code scrubbing and payer-specific checks
• Electronic claim routing, acknowledgement receipt and status tracking
• Automated re-submission of corrected claims when needed

This reduces manual intervention and helps your team focus on exceptions rather than routine transactions.

3. Denial & Exception Management

Even with best practices there will always be exceptions claims rejected, denied or held for review. With Fusion EDI services you get:

• Instant alerting of “hard” and “soft” denials
• Root-cause analytics (for example: insufficient documentation, coding mismatch, payer rule violation)
• Automated workflows for appeal or resubmission where appropriate
• Dedicated follow-up until final resolution, reducing write-offs and aged AR

4. Payment Posting & Reconciliation

Streamlined payment posting is critical for accurate financial reporting and minimizing revenue leakage. Our service includes:

• Automated import and matching of electronic remittance advice (ERA) and EOBs
• Reconciliation of payment against claim submission status
• Flagging and resolving mismatches or unapplied funds
• Clear audit trails and reporting for internal controls

5. Analytics, Reporting & Continuous Improvement

A2Z Billings doesn’t just manage your process we help you optimize it. With Fusion EDI you’ll receive:

• Weekly and monthly dashboards: submission volumes, denial rates, days in AR, payer performance
• Trend-analysis: which payers and claim types are causing slowdowns or denials
• Action plans: targeted interventions, root-cause remediation and staff/process adjustments
• Quarterly strategic reviews: aligning your revenue cycle goals with service delivery, coding accuracy and reimbursement trends

Who Should Consider Fusion EDI Services?

Our Fusion EDI offering is ideal for:

• Hospitals and health systems seeking to improve cash-flow, reduce AR aging and increase reimbursement rates
• Multi-specialty hospital groups with high volumes and diverse payer mixes
• Facilities with legacy billing infrastructure looking for scalable, modern EDI workflows
• Revenue cycle management teams seeking automation, transparency and measurable performance
• Providers aiming to reduce administrative burden, redirect staff efforts and focus on care-delivery

Benefits You’ll See (and Measure)

By partnering with A2Z Billings for Fusion EDI, our clients typically experience:

• A measurable drop in claim rejections and denials often 20-40% in the first year
• Faster payment cycles days in AR shrink and cash-flow improves
• Lower administrative overhead less manual intervention on claim routing, denials and reconciliations
• Better visibility and control clear KPIs that allow proactive management instead of reactive firefighting
• Stronger compliance posture and audit readiness your EDI workflows follow industry and payer standards

Why A2Z Billings?

At A2Z Billings, our deep expertise in hospital revenue cycle management means we understand the unique demands of large-scale operations, high volumes, multiple specialties and complex payer networks. Our commitment to quality, accuracy and client-success means you’re not just buying software—you’re partnering with a team that ensures your investment in Fusion EDI delivers real results. We believe every claim should be submitted right the first time—and when delays or denials occur, we make sure they’re corrected quickly, efficiently and with full transparency.

How to Get Started

1. Contact us for a complimentary consultation: we’ll review your current claim volumes, denial trends, payer mix and infrastructure.
2. Tailored proposal: we’ll present a customized implementation plan for Fusion EDI—timeline, milestones, cost-benefit and ROI forecast.
3. Implementation phase: onboarding, system integration, staff training and live monitoring.
4. Go-live and optimization: once live, we monitor performance, track KPIs and refine processes for maximum efficiency.
5. Ongoing management & reporting: we stay on-top of updates, payer changes, emerging denial patterns and ensure your revenue cycle remains optimized.