EDI Services

Paper claims and remittances turned into clean EDI your system can load

MedValue converts paper claims, attachments and EOBs into validated electronic data — reliably, every day, at volumes that would otherwise mean hiring a room full of data entry staff.

Get your free billing audit Provider-side services

Health Plans
Third-Party Administrators
MSOs
Medicaid MCOs
Repricing Companies
IPAs
Managed Care Organizations

What we convert

Each service is delivered from our operations centre with document management, workflow reporting and daily status reports, so every item sent to us is accounted for.

Paper Claims to EDI Conversion

We convert paper CMS-1500, HCFA-1500, UB-04, UB-92 and dental claims into HIPAA-compliant ANSI 837 EDI files your adjudication system can load directly.

CMS-1500, HCFA-1500, UB-04, UB-92 and dental forms, with full NPI support
1–2 business day EDI turnaround, including backlogs and volume peaks
Data validated against your provider and member databases to lift auto-adjudication and cut pend rates
Validation against CPT/ICD code sets, common industry rules and your own business policies
Repricing data capture from repricing sheets attached to the claim
Mailroom support, including P.O. Box pickup and nationwide scanning

Automated Payment Posting (EOB to ERA)

Paper EOBs converted to electronic remittance advice in ANSI 835 format, loaded straight into your practice management or claims platform.

Paper EOBs returned as ANSI 835 files within 2 business days
Secondary claims generated and packaged with the primary EOBs
Underpaid and denied EOBs sorted into work queues for faster follow-up
Payer cycle time reporting to see who is paying late
Eliminates manual posting and reconciliation, so month-end closes sooner

Claims & Database Support

Day-to-day operational support for health plans, TPAs, MSOs, Medicaid MCOs, repricing companies and IPAs.

Authorization entry and electronic claims handling
Member and provider database maintenance
Document management with 24×7 web-based search and retrieval
Workflow management reporting and daily email status reports
Experience across claims platforms including Facets, IDX, Diamond and EZ-CAP

Sound familiar?

These are the pressures claims departments bring to us. If more than one is true for your plan, a conversation is worth an hour.

Shortage of reliable claims data entry staff
Rising wage and benefit costs
High volumes of paper claim backlogs
Low reliability from an existing paper claims vendor
Paper volume rising faster than the team can absorb
Antiquated or inadequate technology platforms

How the process works

1. Send. Your team scans paper claims, forms or EOBs with attachments to our secure FTP servers.
2. Convert. We capture, validate and repair the data, then return the EDI or data file — typically within 1–2 business days.
3. Load. You load the file straight into your claims or core system; indexed images stay searchable online.
4. Report. Workflow reporting and daily email status reports account for every item received.

Commercial model

A variable cost model with no upfront hardware, software or IT investment on your side, and implementation timelines measured in weeks rather than quarters.

No-cost revenue check

See exactly what your practice is leaving on the table

Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.

A claim-level look at what is being denied and why
Aged AR you can still recover, quantified in dollars
Coding and fee schedule gaps costing you per visit
A plain-English action plan you can keep either way

Prefer to talk first? Call 630-430-1040

Get your free billing audit

Takes 2 minutes. No commitment, no obligation to switch.

Questions first? Read the billing FAQ or build a custom quote.