Gateway EDI – Electronic Claims & Statement Processing
Why Gateway EDI?
- One of the leading clearinghouses in the nation
- Dedicated to superior customer service
- Processes millions of transactions per month
- Provides a single destination for ALL insurance claims
- Has direct connections to government and commercial payers in 50 states
- Includes electronic remittance files from all participating payers
- Provides web-based Send and Receive
- Provides superb reports available online—manage EDI as never before
- Enables tracking and correcting errors from the client portal on the
Gateway website
Enrollment, Implementation, Training, Support, Reports:
Gateway EDI handles it all!
Enrollment
- Gateway EDI contacts you to complete a Provider Enrollment online
- Gateway EDI requests provider ID numbers to begin the enrollment process within two days of a signed contract
- Gateway EDI generates enrollment paperwork
- You are given payer enrollment paperwork to complete
- You return enrollment paperwork to Gateway EDI; production date is
estimated according to payer approval timeframes
- Gateway EDI verifies accuracy and forwards payer enrollment agreements to carriers
- Gateway EDI contacts carriers to obtain approval dates and records dates on provider's addendum
Implementation
- You are sent a training packet, including a copy of provider's addendum (list of provider ID numbers and payer approvals) and training CD
- You may begin sending commercial claims followed by governmental as
approvals are received
- You are assigned a New Accounts representative that monitors your
claims for the first 30-60 day period in production to ensure claims acceptance rate is above 85%
Training
- Initial report training is scheduled after installation is complete and you begin sending claims
- Two weeks after production begins, a second report/web training is offered
Support
- No ticket numbers or long hold times; 98% of customer calls are answered directly
- Immediate resolution for 92% of issues
- Free, on-call support outside of regular business hours
- Additional phone training can be requested
- Phone and email support always available
Reports
- Standardized, easy to read, and customizable
- Accepted/Rejected Claims grouped by Payer
- Rejection analysis reports help guarantee successful refilling
- Safety Net reports ensure that all rejected claims have been re-billed
