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EDI Enrollment: Everything You Need to Know

Etactics

There’s a preliminary step that every payer requires called Electronic Data Interchange (EDI) enrollment. So, that means that EDI enrollment is easy, right? Here is our ultimate guide to the EDI enrollment process and how to streamline it. Table of Contents What is EDI Enrollment?

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The Adjudication of Claims: An Ultimate Guide

Etactics

Claim Adjudication Process Flowchart Just like with the Electronic Data Interchange (EDI) enrollment process , claim adjudication looks different for every payer. Do you remember during the introduction of this blog post when I stated that 30% of all claims get denied? via Oracle. Here’s how.

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[Answered] What is Claims Adjudication?

Etactics

However, you clicked on this blog and I’ll break it down for you! As mentioned above, each insurance company has its own EDI enrollment and adjudication requirements. If you’ve read this far into the blog, then it's pretty obvious that a lot goes into claim adjudication. Unfortunately, adjudication is a legal term.