Benefits of EDI

As of January 1, 2015, PEHP requires all contracted medical and facility providers to submit claims electronically, and beginning January 1, 2026, this requirement will also apply to all dental providers. Some of the many benefits of submitting claims electronically include:

• Improved cash flow
• Expedited claims processing – On average, electronic claims will be processed nearly three weeks sooner than paper claims
• Reduced outgoing calls to payers
• Decreased risk of sending claims with human errors
• Reduced paperwork
• Instant validation of claims status including receipt or rejection of the claim

Our other EDI services such as electronic claims status, eligibility inquires, and payment remittances can also save your office valuable time and resources.