We Are ClaimEDIx

About Us?

ClaimEDIx specializes in software architecture and systems for Managed Care. Our team members have extensive experience in claims processing systems, Electronic Data Interchange (EDI), data driven web development, administrative software development, and innovative automation techniques.

Our Mission

To continue to develop, test and provide State of the Art Software Programs and Services that incorporate "real world" solutions for Managed Care Organizations and Payers, that is data-centric, user friendly, easily adaptable, and enhance daily operational functions resulting in automation, automation, automation!

Our Goal

To continue to provide our clients with Superior Solution Sets in order for them to meet the day to day challenges they face with respect to Provider Data Collection and Maintenance, Provider Credentialing, Fee Schedule Maintenance, Claims Repricing Capabilities, Multiple EDI Capabilities, and Administrative Solutions in the PPO, MCO, IPA, HMO and Payer Arenas.

MCO Pro

Managed Care Organization Professional (MCO Pro) was developed in order to centralize all business department functions of Managed Health Care Organizations into one single standard interface. This architecture promotes faster database performance, shared data amongst business units, open communication and savings to the organization.

ClaimEDIx

Claims Processing Ability

The claims processing portion of the system was developed to accommodate the claims processing needs of our clients and partners. The application handles complex reimbursement methodologies and quantitative scenarios. Built in EDI and auto-processing routines increase productivity and your bottom line.