zimTech Business Solutions

📌 Client: Multi-Specialty Healthcare Group
📌 Service: EDI Processing & Automation
📌 Challenge:
A mid-sized healthcare group handling 1,200+ claims per month experienced slow claims processing, high administrative costs, and frequent data errors when submitting claims to payers like Medicare & Blue Cross Blue Shield.

📌 Solution:
Zimtech introduced Electronic Data Interchange (EDI) integration, allowing direct digital claim submission, cutting out manual processes.
✅ HIPAA-Compliant EDI Transactions – Direct integration for 837 (claims), 835 (payments), and 270/271 (eligibility verification).
✅ Real-Time Claim Status Tracking – Eliminated manual follow-ups.
✅ Automated Data Validation – Reduced claim rejection rates.

📌 Results:
🔹 Claim processing time reduced by 50% (from 10 days to 5 days).
🔹 Claim approval rates increased by 35%.
🔹 Administrative workload reduced by 60%, allowing staff to focus on patient care.
🔹 Annual savings of $75,000 on manual billing expenses.

📢 Quote from Client:
“Switching to EDI with Zimtech was a game-changer! Our revenue cycle runs smoothly with fewer errors.”

📩 Need faster claims processing? Learn more about our EDI solutions