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  • We're an All-Payer, All-Purpose Solution

    With decades of experience in the industry, we understand your practice's processing needs. We meet the demands of the payers and stay on-top of the ever changing regulations. All the while providing exceptional customer service. From custom edits and format conversions, to the daily management of your claims, our solutions get results.

  • The Total Claims Management Solution

    With powerful searching & extensive reporting capabilities, eClaims submits and tracks each claim’s status related messages from initial transmission to final payment in a true paperless format.

  • We've Done This Kind Of Thing Before

    We've seen many standards and regulation changes over the past two decades. We have a plan and rest assured we'll be more than ready. We are here to help our clients to be ready in anyway we can. Check out our frequently-asked-questions, and if you need more information, let us know.

  • Real-time responses from over 450 payers

    IQ Eligibility provides real-time access to insurance eligibility and benefit information including: effective dates, benefit caps, copayments, deductibles, and other essential information for commercial and government payers.

  • Billing Office Supplement Solutions

    Give your bottomline a boost! A practice's billing office can have claims processing inefficiencies or fall behind for any number of reasons, but the result is always delayed payments. We understand the importance of keeping payments coming in on time and offer our clients temporary or long-term optimization plans to get them on track.

  • A Single Source You Can Trust

    The true advantage in working with us is our expertise, customer support, and problem solving approach. The products are just tools after all that aid in day to day duties. What good is the most advanced software if no one is there to help you when you have a question? We focus on tangible results for our clients' that will improve their office efficiency and bottom-line.

Testimonial:

eProvider Solutions is an amazing resource for our organization and we thank you for always sharing your talents with us. Heather B. AAHAM Chapter President

What We Do Best

Our Diversified Business Office Solutions All Rest On A Solid Foundation

Meet the Revenue Capture Needs of Today’s Healthcare Practices

We provide a wide range of products and services surrounding revenue capture. Our most popular services by far are EDI transactions. This is not surprising as our president and founder, BJ Dvorak, has her finger on the pulse of the industry and has been speaking and consulting on the issues surrounding claims processing of both professional and institutional claims for the past 20 years. Because of her unique dedication to customer service and a compassionate understanding of providers’ concerns, she has built a company focused on expediting the A/R process of our clients

Provide Quality Technology With FREE Updates

Even though we focus on people, we don’t cut corners on technology. eProvider Solutions invests in high-quality, cutting-edge technology to offer healthcare organizations tools that are simple, efficient and robust. Our tools and price points are scalable to any size healthcare organization, from single provider family practice offices to large multi-hospital health systems. In addition, to keep up with the constant changes in healthcare, we provide free updates for all of our tools and solutions. This means there is no additional cost to update to a new ANSI version or to meet a payer’s changing requirements.

Current Product Offerings

Technically Rich, User-Friendly Solutions Backed By Great Customer Service

EDI Transactions

STAND-ALONE CLAIMS PROCESSING

eDirect provides you with a feature rich claim submission solution. Includes web-based access, full claim tracking, and reporting. We accept claims in a Print Image, NSF, or ANSI format.

CLAIM PROCESSING AND MANAGEMENT

eClaims combines top of the line processing services with a powerful, yet easy to use, online claim management software. Track every claim through its various stages so no claim is lost or left behind.

MULTI-FORMAT CLAIM CONVERSION TOOL

Dataport converts claims up or down into 4010 or 5010 format, Convert an unlimited number of claims for a low monthly fee.

INTELLIGENT QUERY ELIGIBILITY

True Real-Time Eligibility from over 400 payers. Check eligibility before the patient arrives in an easy to read format so that you can collect accurate co-pay at point-of-service.

CLINICAL CLAIM SCRUBBING

Get cleaner claims without all the elbow grease with our powerful automatic edits. Cleaner claims reduce rejections and minimize days in A/R and it all happens in the background to free-up your staff.

EOB TO ERA SERVICES

Our LockBox service simplifies your workload by converting the paper EOBs you receive in the mail to an electronic remittance. This service Integrates with eClaims and the ERAs can be automatically posted into your practice management software.

EDI BOOST

Does your billing office need a boost? If it has fallen behind in billing, become understaffed, or if you just feel you could be getting more revenue from your claims, then BOOST is for you. Boost is a hands-on, short term, tailored approach to solving billing office problems.

Patient Relations

PATIENT STATEMENTS

Fast and reliable print and mail service enhanced with tech-savvy features like an online manager, digital print-image viewing, and online payment integration.

PAYMENTS MANAGER

Manage Point-of-service payments, online payments, and patients’ mailed-in checks or phone-in payments all in one place. Set up recurring payments for your patients on a payment plan and more.

AUTOMATED COMMUNICATIONS

Quality communication is the key to great customer service and our automated system can help you establish consistent, clear, and convenient communications that can decrease no-shows and speed-up patient payments with simple, timely reminders.

Consulting Services

GENERAL CONSULTING

Whether you need to choose software, navigate standards transitions, or optimize your revenue capture processes we’ve got your back. We are experts in the technology that drives healthcare business.

ICD-10 TRANSITION

We are prepared to assist our providers in trying to ensure a smooth transition. If you are not a client but would like information on how we may be able to assist you with this change, please feel free to contact us at 605-323-0800.