VisibilEDI Provider Portal

The VisibilEDI Provider Portal is an intuitive self-service tool that delivers critical information 24X7 to your healthcare provider network. Partner more efficiently with your providers by giving them the information they need--when they need it--so your team can better address fewer support inquiries.

It’s time for a more efficient partnership with the healthcare providers who care for your members.

The VisibilEDI Provider Portal simplifies your provider partnership by supplying the HIPAAx12 compliant information providers need—when they need it. From eligibility verification to claims to payments, VisibilEDI’s secure browser-based portal application simplifies your healthcare transactions with integrated user authentication and utilization reporting delivered via cloud computing.

Managing claims just got easier.

Simplified Claims Management

Save labor hours for you and your providers with enhanced claims management that allows your providers the ability to verify member eligibility prior to rendering services.

DIRECT CLAIMS FILE UPLOADS give providers immediate feedback on accepted and rejected claims. Decrease clearinghouse fees by submitting X12 837 claim ﬁles via portal upload.
DIRECT DATA CLAIM ENTRY facilitates easier and more accurate claim submission; recurring data is pre-populated in data entry forms for speed and accuracy.
CLAIM STATUS INQUIRIES enables your providers to get up-to-date claim status regardless the source of the claim (direct data entry, batches, or clearinghouses) in an easy-to-read format.

Electronic payments just got easier and more accurate.

Simplified Electronic Payments

Ensure accuracy for your providers with the ability to download electronic payment remittance (X12 835) ﬁles to reconcile to their Revenue Cycle Management system.
Electronic vouchers allow your providers to preview and download a PDF version of payment remits in an easy-to-read format.
Fingertip access to critical payment information saves your staff and your providers labor hours and aggravation.

Experience & deliver outstanding service & support

Outstanding Service & Support

VisibilEDI delivers outstanding service and support so you can pay that forward to your providers and members.

The VisibilEDI Online PORTAL TICKETING SYSTEM enhances provider support. Reduce phone calls and emails to your staﬀ, so they can deliver outstanding support to your providers.
SIMPLIFIED PORTAL ADMINISTRATION gives you control of provider access requests through an intuitive administrative interface for approving providers that self-register for portal use.
VisibilEDI’s system implementation enables you to seamlessly roll out a portal in a matter of weeks, all while supporting payers and providers. And VisibilEDI’s technical and account management teams not only get you up and running, but they will also be there to support you over time.

It’s time to partner more efficiently with your providers by partnering with VisibilEDI.

You can count on VisibilEDI to deliver simple, transparent, and cost-effective healthcare workflow solutions—on time, on budget, and on target. We make implementation easy.

Let’s talk about your specific needs.

Have you outgrown your EDI transaction software?

We built VisibilEDI with you in mind.

Requirements and compliance evolve constantly. Health plans get bogged down by in-house data solutions that are complex and inefficient.

Technical challenges and data gaps cost you money and time, and worse yet, they cost you opportunities. VisibilEDI delivers agile, scalable, and enduring solutions that enable you to grow your revenues.