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Pulse EDI

Using the latest internet-based technology, Pulse offers a feature-rich web portal to help you improve revenue cycle management. Pulse EDI allows you to submit claims, download reports, receive electronic remittance advice and validate insurance eligibility*, as well as to review claim status* – all electronically from the same web portal.

Process and Send Claims File in Only Five Clicks
Pulse EDI allows you to submit claims, download reports, receive electronic remittance advice, and validate insurance eligibility*, as well as to review claim status* from the same web portal handling your transactions in a fast and seamless manner, saving hours of staff time every day.

Seamless PulsePro and Pulse EDI Integration
All patient and claim information modified through Pulse EDI is reflected in the Pulse database.

Automatically-downloaded ERA files
Electronic Remittance Advice files are automatically downloaded and are placed in the appropriate directory for the Pulse program to extract, reducing the time it takes to post payments.

Immediate Interactive Reports
View the status of your claims, including total, accepted and rejected amounts along with filing date. Edit patient information or claim information, and mark claims for re-filing.

Directly Connect to All Payers
Receive payments faster by transmitting claims for all payers through a single portal. View, file, edit and re-file claims all from one point of entry.

Run Real-Time Eligibility* and Claim Status* Inquiries
Run a status check to determine where the claim is within the payer’s processing system, verify a patient’s eligibility, then store and timestamp for future reference.

Features Benefits
Complete cycle of claims submission to final payment. Eliminate redundant steps in sending and re-filing claims.
Internet-based solution. Fast, easy-to-use web portal access.
Online easy-to-read, standardized electronic report format for all payers. Eliminate the time and frustration of trying to read and decipher information from multiple payers’ reports, each formatted differently.
Single source EDI transaction web portal for:

  • All-payer claims submission
  • Electronic Remittance Advice (ERA)
  • Standard claims acceptance/rejection reports
  • Insurance Eligibility Verification*
  • Claim Status*

Future: Pre-Certification, Real-time Claims Adjudication

Streamline workflow and revenue cycle management.Eliminate redundant log-ins, searches, and phone calls.
Adjusted patient and claims data using Pulse EDI automatically updates your Pulse database. Quickly change and re-file claims. Single point of data entry.

Simplicity Pricing
Pulse EDI is a priced per-provider, per-month flat fee. For pricing information, contact your Pulse Account Manager or call 800-444-0882.

* Eligibility and Claim Status are based on payers’ participation with Emdeon.

** Pulse EDI supports HIPAA standards for patient insurance eligibility verification (ANSI 270/271), submission of electronic claims (ANSI 837) request and receipt of electronic claims status (ANSI 276/277) and receipt of electronic remittance advice (ANSI 835).