(formerly Emdeon eServices Managed Gateway)
Emdeon Managed Gateway offers payers a single-vendor solution for the entire claim lifecycle. Managed Gateway represents a major strategic decision because it allows payers to exit the claims processing business altogether. Emdeon Managed Gateway offers competitive pricing and enhanced value throughout the entire claim cycle, from pre-adjudication to post-adjudication, including mailroom outsourcing, document scanning, data capture, document retrieval, enhanced edits, eligibility, claim status and routing.
On payer’s behalf, Emdeon will accept all electronic claims submitted from any direct provider, practice management system vendor, clearinghouse, or any other third party. Typical results offer higher EDI penetration, which equals greater savings and eliminates EDI “churn”, due to Emdeon’s extensive provider and vendor connectivity.
Features
- Bundled solutions from a single vendor
- Emdeon’s claim edits applied to 100% of inbound electronic claims
Benefits
- Reduction of FTEs needed to handle multiple vendor connections and relationships
- Higher EDI penetration
- Increased auto-adjudication rates as a result of combined solutions
- Savings due to elimination of per transaction fees; elimination of multiple vendor connections results in lower staff requirements
