Lower administrative burdens and boost provider satisfaction with a single, intelligent gateway for ANSI-standard transactions tailored to your plan’s business rules.
Veradigm Payerpath simplifies how claims, eligibility, remits, and attachments flow between you and your provider network, so you can prevent rework upstream, accelerate adjudication, and pay accurately the first time.
Centralize management of HIPAA ANSI X12 transactions with edits tailored to your plan. Standardize companion guides and enforce business rules without custom builds in your core system.
Apply payer-specific validations and benefit plan logic to stop errors early, guide providers to fix them, and route clean transactions for straight-through processing. This results in fewer pends, fewer touches, and faster decisions.
Receive claim attachments electronically alongside submissions to reduce mailroom time and manual indexing as well as improve completeness for medical review.
Leverage clearinghouse connectivity that lets providers submit claims, check status, and reconcile payments through familiar workflows to minimize training and ticket volume.
Outcomes that matter
| Benefit | Impact |
|---|---|
| Higher first-pass rates | Proactive edits aligned to payer rules |
| Shorter adjudication cycles | Fewer exceptions and handoffs |
| Lower admin costs per claim | Less manual work and paper |
| Happier providers | Predictable transactions and faster answers |
Connect once via Payerpath’s established clearinghouse connectivity.
Validate and enrich with payer-specific edits and companion-guide logic.
Route and respond clean claims directly to adjudication with timely acknowledgements, status updates, and RSAs.
Attach evidence electronically to accelerate documentation and reviews.
Feed clean, structured data directly into your claims and BI platforms.
Extend capabilities through established integrations, including electronic attachments and payment partners.
Veradigm Payerpath supports HIPAA-standard transactions and modern security protocols across all web-based workflows and clearinghouse services. This helps you reduce paper, protect PHI, and maintain audit-ready processes across the claim lifecycle.
Ready to reduce rework and increase provider satisfaction with a single, payer-tuned EDI gateway?
Talk to Veradigm Payerpath. Let’s assess your current flows, edit packs, and exception drivers—and map a fast path to higher first-pass rates.