EDI processing
EDI claims, ERAs, and eligibility — automated end to end
One pipe to 10,000+ payers. We handle X12 837 claim submission, 835 ERA posting, 270/271 eligibility, 276/277 claim status, and 278 prior auth — with automated 999 and 277CA reconciliation.
837 claim submission
Professional, institutional, and dental claims batched, scrubbed, and acknowledged in real time.
835 ERA auto-posting
ERAs split by TIN/NPI and posted to your PM with adjustment-code mapping.
270/271 eligibility
Sub-second real-time eligibility with caching for batch verification at the start of every day.
Rejection workflow
277CA and payer-specific rejections routed to a worklist with remediation hints.
Enrollment tracking
We file, track, and resubmit payer enrollments — including ERA and EFT.
HL7 + FHIR ready
Adapt EDI to FHIR R4 Claim, ClaimResponse, and Coverage resources when needed.
How EDI flows through Synergy
- Your PM/EHR drops an 837 to SFTP or POSTs to our REST endpoint.
- We scrub for payer-specific edits, generate a 999, and route to the clearinghouse.
- 277CA and 835 responses are parsed, posted, and surfaced in your rejection worklist.
- Eligibility (270/271) and claim status (276/277) run on demand or on a schedule.
Frequently asked questions
- Which X12 EDI transactions do you support?
- 837P, 837I, 837D claims; 835 ERA; 270/271 eligibility; 276/277 claim status; 278 prior authorization; 999 and 277CA acknowledgements.
- How long does payer enrollment take?
- Most commercial payers enroll in 7–14 business days. Medicare/Medicaid and ERA enrollments typically take 30–45 days. We track and resubmit on your behalf.
- How are rejections handled?
- Every 277CA and 835 is parsed automatically. Rejections are routed to a worklist with payer-specific remediation hints and one-click resubmit.
- Can we connect our existing PM / EHR?
- Yes. We expose SFTP drop folders, REST endpoints, and direct integrations with most major PM / EHR systems.
Ready to get a connectivity quote?
Our team can scope your connectivity, automation, or reporting needs in a single call.