- 8017 Labana Ct, Canton Township, MI 48187
- +1 (734) 418 2537
- info@a2zbillings.com
A2Z Billings runs your eligibility checks, claims and remittance files through one connected exchange, so your team spends less time chasing rejections and more time closing the books
Every claim your practice sends and every payment a payer sends back, can travel as a standardized computer-to-computer file instead of a printed form or a portal upload. That’s the job EDI does. It replaces manual re-keying, faxed authorization requests and mailed remittance advice with files that move in seconds and post automatically.
The result is fewer typos, fewer missed deadlines and a claims team that spends its time on the accounts that actually need a human, not the ones stuck in transit.
is the standardized exchange of business data between computer systems. In healthcare, EDI moves claims, eligibility checks and payment data using the ANSI X12 format, the transaction standard required under HIPAA’s transaction and code set rule.
| Code | Transaction | What it does |
|---|---|---|
| 837 | Claim submission | Professional, institutional, and dental claims leave your system and land in the payer's queue without a printed page in between. |
| 835 | Electronic remittance (ERA) | Payment and adjustment detail comes back line by line, ready to post against the patient account automatically. |
| 270/271 | Eligibility and benefits | A real-time check confirms what a plan actually covers, before the patient sits down in the exam room. |
| 276/277 | Claim status | Status requests show where a claim sits with the payer, so nobody has to call and ask. |
| 278 | Prior authorization | Authorization requests and the payer's response move electronically instead of through a fax queue. |
| 999/277CA | Acknowledgments | The file gets confirmed as received and accepted, or kicked back with a reason, days before it would otherwise turn into a denial. |
Coverage gets confirmed before the appointment, not after the claim bounces. (270/271)
A2Z billings makes claims run through payer-specific edits before they ever leave the building. (Pre-submission edits)
Clean files route straight to the correct clearinghouse and payer. No printing, no portal logins. (837)
Every claim gets watched from submission to payment, so a stall gets caught in days, not at the 45-day mark. (276/277 · 999)
Payment and adjustment data post against the patient account without a biller retyping a single line. (835)
Denials get sorted by root cause, corrected, and resubmitted, instead of sitting in a worklist. (Root-cause review)
Claim creation, submission and appeals sit in a single workflow, so nothing falls into the gap between two logins.
Eligibility checks and payer-specific edits stop mistakes before a claim ever reaches the payer.
Routing and status monitoring close the gap between the date of service and the date of payment.
The same setup runs one clinic or a multi-site group without slowing down at higher claim volume.
Dashboards show exactly where revenue is stuck, so decisions come from data, not a guess.
HIPAA-aligned handling, encryption, and audit trails protect PHI at every step of the exchange.
Industry Average → 75-85%
After moving to Fusion EDI
Faster time to payment
Fewer resubmission
High claim volume across departments, one connected exchange.
One EDI backbone that handles varied payer rules and formats.
Cardiology, orthopedics, behavioral health and other specialty-specific claim types.
Fast eligibility checks and authorizations for tightly booked schedules.
Centralized visibility across locations, one point of reporting.
Room to scale claim volume without adding manual headcount.
Claims flow straight out of the chart you already use.
Scheduling, billing and EDI stay in sync.
KPIs and revenue insight, no separate login.
Full-service RCM behind the EDI layer, if you want it.
