EDI Services That Work With Any Billing System
Pick only the services you need — eligibility, claims submission, claim status, remittance, or Medicare connectivity. No bundles. No required upgrades.
Works with any practice management system. HIPAA compliant. Same-day setup.
Starting at $25/month
Thousands
of connected payers
24/7
submission availability
Any PM
software compatible
Where each service fits in your billing workflow
Each service covers a different stage of the claims cycle. Use one or combine them.
Before the visit
Patient Eligibility
Verify the patient's insurance before the appointment so you know what's covered.
Claims submission
Clearinghouse
Submit claims electronically to payers after the visit is complete.
After submission
Claim Status Inquiry
Check whether a claim is paid, pending, or denied without calling the payer.
After payment
ERA / 835
Download remittance data and use it to post payments within your billing system.
Available services
Each service has its own detailed page with full feature details, workflow, and FAQ.
Before the visit
Patient Eligibility
Check a patient's insurance coverage in real time before the appointment — before a claim is ever submitted.
- Real-time and batch eligibility checks
- Medicare, Medicaid, and commercial payers
- Benefit breakdown: co-pay, deductible, coverage
- Works with any practice management system
Claims submission
Clearinghouse
Submit professional, institutional, and dental claims to thousands of payers through one secure web portal.
- ANSI 837 (professional, institutional, dental)
- Accepts CSV format
- Individual and batch submission, 24/7
- Direct clearinghouse — not a reseller
After submission
Claim Status Inquiry
Check whether a submitted claim is paid, denied, or pending without calling the payer.
- Real-time claim status via Medicare portal
- Same or similar item lookups for DME
- Claims history and pending claim detail
- First 5 inquiries/month free
After payment
Electronic Remittance Advice (ERA)
Receive ERA/835 remittance files electronically — with payment amounts, adjustments, and denial codes — without waiting for paper EOBs.
- Machine-readable 835 and human-readable formats
- Search by patient, claim, or payment details
- Supports payment posting within your PMS
- Medicare, Medicaid, and commercial payers
Medicare connectivity
Medicare Network Service Vendor (NSV)
Direct connectivity to all Medicare Administrative Contractors (MACs) for eligibility, claim status, and related transactions.
- Approved Medicare NSV
- Supports all MACs: CEDI, NGS, WPS, CGS, Palmetto, Novitas, First Coast, Noridian
- Direct connectivity — not a third-party intermediary
- For providers billing Medicare directly
Works with any practice management system
No migration. No new software. If your PM system can export standard claims files, you can use Cortex EDI cloud services.
- ANSI 837 formats
- CSV uploads
- HIPAA compliant
- Same-day setup
- US-based support