Electronic Medical Billing Clearinghouse
Submit claims, receive reports, and connect to thousands of payers through one secure web portal — without changing your billing software.
Works with any practice management system and supports standard 837 claim and .csv formats.
Keep your claims workflow moving
Your clearinghouse connects your billing system to the payer. When it's slow or difficult to use, it can create friction in claim submission, follow-up, and payment timelines.
Faster claim submission
Send claims electronically to thousands of payers from one portal.
Fewer rejections
Standardized electronic formats (837) help reduce formatting and submission errors before claims reach the payer.
Centralized workflow
Submit claims and retrieve responses without switching between systems.
How clearinghouse fits into your billing process
Cortex EDI plugs into your existing workflow — before the payer, after your billing system.
Create claims in your billing software
Generate claims as you normally would — in your existing practice management system.
Upload claims to Cortex EDI
Log in to the secure web portal and upload your claims file in ANSI 837 or CSV format.
Claims are transmitted to payers
Cortex EDI routes each claim to the correct payer — Medicare, Medicaid, commercial carriers, and more.
Receive acknowledgements and reports
Review payer acknowledgements, rejection reports, and ERA/835 remittance files through the portal.
Correct and resubmit if needed
Address rejected claims and resubmit — all from the same portal without switching systems.
What you can submit
All standard claim formats and types are supported.
Claim Types
- Professional claims — CMS 1500 format
- Institutional claims — UB-04 format
- Dental claims
- Individual or batch submission
Accepted File Formats
- ANSI 837 (837P, 837I, 837D)
- CSV file
What you get with Cortex EDI clearinghouse
Same-day setup
Get connected and start submitting claims the same day — no lengthy onboarding or contracts.
24/7 submission
Submit individual claims or large batch files any time of day, every day of the year.
Works with any PM software
Compatible with any practice management system that exports ANSI 837 or CSV files.
Real-time claim tracking
Monitor the status of every submitted claim and receive detailed rejection analysis through the web portal.
HIPAA compliant
All electronic transactions are fully compliant with HIPAA guidelines, with secure transmission and storage.
US-based EDI support
When you call us, you speak to an EDI expert — not a generic support script. Direct help from people who know clearinghouse.
Built for healthcare billing teams
Any provider or organization that submits electronic claims to insurance companies.
Expand your workflow
Optional services that connect to your clearinghouse workflow.
Before the visit
Eligibility Verification
Check patient insurance coverage in real time before submitting a claim.
Learn moreAfter submission
Claim Status Inquiry
Check whether a claim is paid, denied, or pending without calling the payer.
Learn moreAfter payment
Electronic Remittance Advice
Receive ERA/835 files electronically and automate payment posting.
Learn moreFrequently asked questions
Yes. Cortex EDI accepts claims files from any practice management system that can export a standard ANSI 837 file or a CSV file. If your software can export claims, you can use Cortex EDI.
Same-day setup is available. Upload your first claims file to the secure web portal, and you can be submitting to payers the same day.
You can submit professional claims (CMS 1500), institutional claims (UB-04), and dental claims — individually or in batch.
Cortex EDI is a direct clearinghouse — not a reseller. That means fewer middlemen, faster processing, and direct support from our own EDI team.
Yes. Individual and batch claim submission is available 24 hours a day, 7 days a week, 365 days a year through the secure web portal.
Yes. All electronic transactions processed through Cortex EDI are fully compliant with HIPAA guidelines.
Works best with
Pair your clearinghouse with these cloud services for a complete EDI workflow.
Patient Eligibility
Verify coverage in real time across Medicare, Medicaid, and 3,500+ payers — before the visit.
See detailsSame or Similar / Claim Status
Check Medicare claim status and DME same-or-similar history in seconds — no phone calls.
See detailsElectronic Remittance Advice (ERA)
Get 835 remittance files from payers — sometimes before paper EOBs arrive.
See detailsSimplify your claims workflow
Submit claims, receive reports, and manage payer connections from one clearinghouse.