Services for Software Vendors

Key Features

Easy Integration

Secure File Transfer (SFTP)
REST API (Review API Docs)
Standard File Formats: ANSI X12 - 5010-837P, 5010-837I, 4010-837P, 4010-837I, NSF.
Custom Formats: Print Image, Excel (XLS & XLSX), Comma Separated Value (CSV) and XML.
Real-time status updates.

Enhance Your Software by Adding our Tools

Online Claim Manager for easy corrections.
ERA Viewer
Eligibility Portal
Appeal Packets
Integrated EDI Enrollment Forms

Support

One login for claims, ERA eligibility AND support.
Vendor access to support tickets.
Experienced U.S. based support team.

Vendor Managed Accounts

Claim.MD does not sell your providers income or de-identified claim data.

Simplified File Formats

In addition to supporting standard X12 837P & 837I transactions, CLAIM.MD offers a variety of simplified data formats that can expedite your development time.

XML claim, status and remittance formats allow your developers to quickly generate claim data and download payment information. Using our simplified formats also means minimal changes are required as the X12 standards change from ANSI 5010 to future formats like 6020 or 7030.

Additional supported formats include Excel spreadsheets in CSV, XLS and XLSX. Print image text formats, we map one standard format so all providers gain instant access.

Instant 5010 compliance. CLAIM.MD automatically upconverts your files to the ANSI 5010 stanadards.

Online Enrollment API

Our Visual Claim Editor is totally unique -- an interactive claim form that performs payer-specific edits as you type. We translate arcane codes and messages to be readily apparent to your billing staff. Editing claims online with real-time data validation makes for fast turn-around of claims that you would otherwise need to re-bill from scratch.

API and Batch Integration

REST API for realtime transactions. Get immediate results of our claim validation rules. Realtime eligibility. Pull up to the moment claim status and ERA updates.

SFTP for easy batch implementation.

Fastest Payer Submission Times

Claim.MD sets the bar with the fastest claim submission times. Most payers will receive your data within minutes.

Our proprietary backend payer system batches claims fast, and takes the most direct path possible to the payers. This means faster turn around for your providers.

Enhance your Features

Offer claim corrections through our online Claim Management portal. Augment your existing tools to cover new billing situations or direct your customers to our portal to manage their data after submission.

Add support for NDC codes, Labwork, DME, Ambulance, Chiropractic and more.