EDI Development and Clearinghouse

  • Increase claim adjudication rates with Claimsubmit compliance checking; customized to each payer system
  • Flat rate transaction cost structure
  • Online reporting
  • 275 transaction handling for paperwork, medical records, and attachments
  • Web service integration with existing platforms
  • Data conversion and transaction handling
  • Secure and compliant
  • Trading partner management
  • Handle all HIPAA x12 transaction sets (batch and real time)
  • Application development and hosting
  • Troubleshoot existing processes
  • EDI best practices consulting

Imaging Services and OCR

  • Enrollment form conversion to 834 transaction sets
  • CMS 1500/UB04 paper conversion to 837 transaction sets
  • 275 paperwork processing and image handling and routing
  • Image only,  storage,  and retrieval

Complete Mail Room Services

  • Go Digital. Turn your operation into a completely paperless environment
  • Easily track and route EDI/paper claims, medical records, trip tickets, other attachments, enrollment forms electronically within your organization and third parties
  • Claim checkout and inventory management application
  • Access image data through your existing payer and CMS software and systems

End to End Claim Adjudication and Auditing

  • Post claim adjudication auditing and encounter correction
  • Adjudicate claims in a mirrored environment for auditing and metrics
  • Pre submission claim editing and scrubbing
  • CMS compliance and SLA guarantees
  • Avidity provides a number of programming options to increase legacy system auto adjudication rates without investing in new claims software
  • Mainframe front end data management
  • Claim overflow processing
  • Medicare fee schedule pricing tools

Who we work with

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Avidity Health Care Solutions, Inc. launches new web site

| General | No Comments

A refocus on Avidity’s client centric brand, core products and services.

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UC selects Avidity Health Care Solutions for 820 and 834 transaction processing

| General | No Comments

UC selects Avidity Health Care Solutions for 820 and 834 transaction processing.

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CORE Phase II 270 Development completion for CIGNA Medicare Advantage

| General | No Comments

CORE Phase II 270 Development completion for CIGNA Medicare Advantage

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NEOS Consumer Driven Healthcare Upgrades its CDH Platform

| Avidity, NEOS News | No Comments

We are continually expanding and improving our self service CDH platform.