Cortex EDI

Cortex EDI is a practice management software and clearinghouse service offered by Cortex EDI, Inc. According to the vendor, the software is designed to streamline workplace processes and optimize revenue cycles for medical, institutional, and dental practices of all sizes. The software provides features such as cloud services, patient eligibility verification, practice management tools, clearinghouse services, electronic remittance advice, and same or similar/claim status inquiry functionality.

Key Features

Cloud Services: According to the vendor, Cortex EDI's Ebill Cloud is a user-friendly practice management software that can be accessed from any computer, at any location, and at any time. It is designed to streamline workplace processes, manage client billing, and offer patient eligibility verification for private health insurance, Medicare, and Medicaid.

Patient Eligibility: The vendor claims that Cortex EDI allows users to verify patients' health insurance eligibility instantly and affordably for Medicare, Medicaid, and private health insurance plans. The software is said to eliminate the need for timely phone calls and hold times, maximizing payments and minimizing errors. It also provides access to hundreds of health insurance payers and comprehensive patient information.

Practice Management: Cortex EDI's Ebill Cloud is a free software package that, according to the vendor, provides all the billing needs for healthcare providers. It offers features such as accounts receivable management, claim submission and tracking, custom reporting, and the ability to set up and store custom fees per insurance company for accurate billing.

Clearinghouse: Cortex EDI is positioned as a leading clearinghouse and practice management software vendor for electronic medical transactions. According to the vendor, it assists providers in every step of the revenue cycle, from verifying patient eligibility to sending claims and tracking receivables. The software aims to consolidate various EDI service needs to streamline workplace processes.

Electronic Remittance Advice: According to the vendor, Cortex EDI provides electronic remittance advice for efficient and accurate payment reconciliation. Users can receive payment information electronically, automate payment posting, and reduce manual data entry errors. The software is claimed to improve cash flow and reduce administrative costs.

Same or Similar / Claim Status Inquiry: The vendor states that Cortex EDI offers same or similar claim status inquiry functionality to determine if a procedure has been previously performed. It also provides claim status inquiry to check the status of a claim and identify any issues or denials. According to the vendor, these features can help reduce claim denials, improve reimbursement rates, and minimize the need for manual follow-up and phone calls.