Revenue Cycle Service

EDI & EFT Enrollment Services

Complete Electronic Data Interchange (EDI) and Electronic Funds Transfer (EFT) enrollment services. Streamline claims submission and payment processing with all major payers.

3000+ EDI Enrollments

50+ Payers Supported

7-14 Days Average

Start EDI/EFT Enrollment Free EDI Consultation

All Major Payers

Complete EDI & EFT Setup

Claims submission, ERA enrollment, and electronic payment setup

Our Process

EDI & EFT Setup Made Simple

Our streamlined 3-step process gets your electronic claims and payments flowing quickly.

Payer Requirements Analysis

We identify EDI/EFT requirements for each payer and collect all required documentation.

Enrollment Application Submission

We prepare and submit complete EDI and EFT enrollment forms to each payer and clearinghouse.

Confirmation & Testing

We track approvals, confirm payer connections, and ensure successful claims transmission.

Services We Provide

Complete EDI & EFT Solutions

We handle all aspects of electronic claims and payment enrollment.

EDI Claims Enrollment

837P and 837I electronic claim submission setup

EFT Enrollment

Electronic Funds Transfer for direct deposit payments

ERA Enrollment

Electronic Remittance Advice (835) setup

Clearinghouse Setup

Connection with Availity, Change Healthcare, Waystar, etc.

Provider Portal Registration

Setup of payer-specific provider portals

Eligibility Verification

270/271 real-time eligibility transaction setup

Claim Status Inquiry

276/277 claim status transaction enrollment

Payer Updates & Maintenance

Ongoing EDI/EFT enrollment updates and changes

Payer Coverage

Major Payers & Clearinghouses We Support

We manage EDI and EFT enrollment with all major payers and clearinghouses.

Medicare

CMS EDI enrollment and Novitasphere setup

Medicaid

State-specific Medicaid EDI enrollment

UnitedHealthcare

UHC EDI and Optum Pay setup

Blue Cross Blue Shield

All BCBS plans and BlueCard EDI

Aetna

Aetna EDI and Availity integration

Cigna

Cigna EDI and Cigna for HCP setup

Humana

Humana EDI and Availity integration

Anthem

Anthem EDI and Availity setup

Change Healthcare

Clearinghouse connection and enrollment

Availity

Multi-payer portal and EDI gateway setup

Waystar

Clearinghouse enrollment and configuration

Office Ally

Clearinghouse setup and payer connections

Core Requirements

EDI & EFT Enrollment Essentials

We ensure all electronic enrollment requirements are met with precision.

NPI Number

Type 1 (Individual) and Type 2 (Organization) NPI

Tax ID/EIN

Federal Employer Identification Number

Banking Information

Voided check or bank letter for EFT setup

W-9 Form

Current IRS W-9 for tax identification

State Medical License

Active license in practicing state

Clearinghouse Account

Active clearinghouse account and credentials

Practice Management System

PMS/EMR vendor and version information

Contact Information

Billing office and authorized contact details

Why Choose Us

EDI & EFT Enrollment Excellence

We understand the complexities of electronic claims and payment enrollment.

Faster Reimbursement

EFT enrollment eliminates paper check delays and gets payments deposited directly to your account.

Reduced Denials

Electronic claims have fewer errors and faster processing than paper submissions.

All Payer Coverage

Medicare, Medicaid, and all commercial payer EDI/EFT enrollment managed in one place.

Automated Reconciliation

ERA (835) enrollment enables automatic payment posting to your practice management system.

FAQ

EDI & EFT Enrollment Questions Answered

Clear answers to common questions about electronic claims and payment enrollment.

What is EDI enrollment?

EDI (Electronic Data Interchange) enrollment is the process of setting up electronic claim submission (837) and electronic remittance advice (835) with payers and clearinghouses.

What is EFT enrollment?

EFT (Electronic Funds Transfer) enrollment sets up direct deposit of claim payments from payers to your bank account, eliminating paper checks and mail delays.

How long does EDI/EFT enrollment take?

EDI/EFT enrollment typically takes 7-14 days for commercial payers and 14-30 days for Medicare and Medicaid. We expedite where possible.

Do I need a clearinghouse for EDI?

Yes, most practices use a clearinghouse (Change Healthcare, Availity, Waystar) to submit claims to multiple payers through a single connection.

What is ERA and do I need it?

ERA (Electronic Remittance Advice) is the electronic version of the EOB that explains payment details. ERA enables automatic payment posting to your practice management system.

Can I enroll in EDI/EFT before completing credentialing?

No, you must be fully credentialed and have an active provider number before enrolling in EDI/EFT with most payers.

What information is needed for EFT enrollment?

EFT enrollment requires a voided check or bank letter showing your practice name, routing number, and account number for direct deposit setup.

Do you handle Medicare EDI enrollment?

Yes, we manage complete Medicare EDI enrollment including PECOS updates and Novitasphere or other MAC portal setup.

What is the difference between EFT and virtual credit cards?

EFT is direct deposit to your bank account with no fees. Virtual credit cards (VCCs) often include processing fees. We prioritize true EFT enrollment.

Can you help with EDI/EFT for multiple locations?

Yes, we manage EDI/EFT enrollment for all practice locations and provider NPIs, ensuring each location is properly configured.

Ready to Automate Your Claims and Payments?

Let our EDI/EFT enrollment experts get your electronic claims flowing and payments deposited directly to your account.

Start EDI/EFT Enrollment Free EDI Consultation