Veradigm’s Medical Claims and Remittance Data are nationally representative data sets which come from over 24,000 ambulatory provider practices across the U.S. and include over 100 payers; Commercial, Medicare and Medicaid. The Medical Claims Data (837-p) and Remittance Data (835-p) can be licensed separately or together and licensed data updates are provided on a daily basis.
Medical Claims provide the data relating to an encounter with a medical professional for which reimbursement is requested from the patient’s insurer. Remittance records relate to the claims submitted and include the information the insurer provided back to the medical professional, including the data related to payment of the claims and/or the reject reasons, should the claims have been rejected by the insurer. Veradigm’s Medical Claims and Remittances are submitted electronically using EDI 837/835 transactions.
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This listing uses a single pricing dimension called Product Access (Units). It grants subscribers access to the product at no cost, since the pricing model is Free. There are no tiers, instance sizes, or usage-based add-ons to compare. You get access through this one option. The product supports electronic submission of medical claims (837-p) as part of claims management and revenue cycle workflows.
Top-of-mind questions for buyers
What does the Product Access (Units) dimension grant, and is there any cost?
This dimension grants subscribers access to the product. The pricing model is Free, so no charge accrues for access. You receive the medical claims (837-p) submission capability through this single option, with no per-transaction or usage-based fees added.
What claim transactions and workflows does this access cover?
Access covers electronic submission of medical claims in the 837-p format. This sits within claims management and revenue cycle workflows, including claim submission, acknowledgments, claim status checks, and electronic remittance handling across the claim lifecycle.
Does cost change as my claim volume grows under this access?
No. The pricing model is Free, so cost does not change with claim volume. There are no usage tiers, no per-claim charges, and no included-amount cutoffs. Submitting more or fewer 837-p claims does not affect your bill for this dimension.
www.veradigm.com
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