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Direct EDI Claim Submission

Bypass non-required clearinghouses and submit direct to major payers.

 

 

How it Works

Our relationship with many major payers allows us to facilitate a direct connection from providers to payers, allowing our partners to bypass clearinghouses whenever possible. Payers receive claims quickly, providers enjoy faster cash collections, lower A/R days, and eliminate clearinghouse problems such as lost, missing, or misdirected claims.  To further benefit our partners, the Cirius EDI Analyst Team performs multiple follow-up functions to ensure claims are received by payers and remittance files are being returned in a timely manner. Additionally, the team performs claim tracking, file resubmissions, reconciliation management, and rejection corrections. 

Submit Direct

Bypass clearinghouses when possible

Faster Payment

Increase the speed of cash collections

Reduce Manual Effort

Minimize follow-up for billing staff

 

Direct Connects

What's the quickest way to get from point A to point B? You guessed it! The most direct path of course! So why treat claim submissions any different? Submit claims at the fastest rate possible.

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Bypass Clearinghouses

Cirius facilitates providers with a direct connection to numerous major payers such as Medicare, Medicaid, CIGNA, Blue Shield, and many others. We help our partners bypass clearinghouses whenever possible.

Testimonials

 

Faster Payments

Payers receive claims faster without the slow down of clearinghouses. Providers experience lower A/R days and quicker payments after switching to Cirius' EDI Claim Submission Service. Jump start your payment process and go direct!

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Cirius is so effective that close to 50% of the billing staff has been reallocated and production quality has significantly increased; over 99% of claims are accepted on the first submission and denials are less than 1% across all payers - the UB04 claims are extremely clean and free of errors.
Blond Girl
UPMC
We did it! We collected $44M over our cash goal for FY 19 including hitting our cash goal for a straight 12 months and collecting an all-time high for Physician Billing. Everyone has done an amazing job and FY 20 is even going to be better. Thank you again for everything.
Guy w vest
El Camino Health
With Cirius we submitted clean claims with only a 1% to 2% rejection rate at the payers. The staff is happy, Billers are touching 12% - 19% of daily claims (This includes Primary, Secondary & Tertiary Claims). I can’t say enough about the Cirius Group. Best product on the market. I have been in the A/R management arena for almost 30 years and this product works.
Johnface
Jackson Hospital
 

Find Out What We Can Do For You

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