August 2006 Newsletter

Faster and Faster

By: EDI Project Leader

In an effort to get your claims to the payers at an ever faster pace, Quadax recently implemented a more rigorous transmission schedule for many of our Medicare payers. If a client releases claims to Quadax before any of these processing times, the claims are likely to be processed at the payer by the following hour. Our goal is to be able to get claims to the payers as fast as possible and even be able to tell our clients if there are any front-end payer rejections, sometimes multiple times a day (depending on the payers' own internal processing schedules, of course).

We are now sending many of our Medicare claim transmissions at the following times:

• 8:00 a.m.
• 10:00 a.m.
• Noon
• 2:00 p.m.

We still perform our normal nightly batch processing, usually some time after midnight, and transmit claims to all payers throughout the night.

This new schedule allows Quadax to also retrieve transactions more quickly from the payers. This would include 997 File Acknowledgements, Accept/Reject reports, and even ANSI 835 Remit files. Quadax continues to work with all of our payers to implement faster turnaround times on claims. If a payer will accept EDI transmissions multiple times a day, it is most likely that we will add them to this new process.

In short, the faster we get claims to the payers, the faster they will process them, resulting in a decrease in your days in A/R. And isn’t that what EDI claims processing is all about?