QWay Healthcare expert EDI enrollment services
QWay Healthcare’s Hassle-Free EDI Enrollment Services
Benefits of EDI enrollment:
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Frequently Asked Questions
What are EDI enrollment services in healthcare?
Before a payer accepts electronic claims from a practice, the practice has to be registered with that payer, usually through a clearinghouse. Registration covers the 837-claim file, the 835 remittance (ERA), and often EFT for direct deposit. Enrollment services do that setup payer by payer so claims go out electronically and payment details come back the same way.
What does QWay Healthcare’s EDI enrollment service include?
We submit claim and ERA enrollments for new providers and set up the connection between your practice, your clearinghouse and each payer. We also connect EDI to your EHR so claims flow without re-keying. After submission we follow each enrollment until it is approved. If something is already broken, we trace rejected transactions to their cause, find missing ERAs, and move your enrollments when you switch clearinghouses.
What is the difference between claims enrollment and ERA enrollment?
Claims enrollment lets you send 837 files to a payer. ERA enrollment lets the payer send the 835 back, with the payment amounts, adjustments and denial codes for each claim. The two are separate approvals. A payer can accept your claims for weeks before the ERA is active, which leaves you posting from paper EOBs. Many payers also want EFT enrollment in step with the ERA so the deposit and the remittance match.
How long does healthcare EDI enrollment take?
Claims enrollment through a clearinghouse often clears in one to two weeks. ERA and EFT enrollment usually run longer, anywhere from two to six weeks, and some payers still ask for a signed form or a voided check before they act. A wrong tax ID, a mismatched NPI or a missing signature will restart the clock. We track each enrollment by payer and chase the ones that stall.
Why should I choose QWay Healthcare for EDI enrollment services?
Because enrollment runs through us from setup to approval, with one team following every payer. Many practices lose weeks when an enrollment sits in a payer queue and nobody notices. We keep a status on each one and follow up until it is approved. We also fix the problems that appear after go-live, such as rejected files and ERAs that don’t arrive.
