EDI & Clearinghouse
Healthcare EDI built for clean claims and complete payment visibility.
PayDoc connects the EDI workflow from claim creation through acknowledgements, payer responses, remittance, and reconciliation—so every transaction is traceable from source to cash to GL.
The challenge
When EDI is treated as plumbing
EDI is often treated as plumbing. But when claim files, payer routes, acknowledgements, and remittance data are disconnected, teams lose time, miss patterns, and struggle to explain where money is stuck.
How PayDoc helps
EDI inside the payment operating system
PayDoc brings EDI into the payment operating system. Claims, acknowledgements, payer responses, ERAs, clearinghouse activity, exceptions, and audit records live in one connected workflow.
Claim Generation & Submission
837 generation and submission support. Clean claims start with structured data and the right format for each payer route.
Acknowledgement & Status
999 acknowledgement ingestion and 277CA claim status ingestion. Know immediately whether a claim was accepted, rejected, or pended.
Remittance & Posting
835 ERA ingestion and payer route and enrollment readiness. Remittance connected to claims and ready for posting and reconciliation.
Clearinghouse Management
Clearinghouse profile management and submission ledger. Understand which claims went where and what came back.
Exceptions & Audit
Replay-ready source artifacts and exception queues with owner, status, and next action. No transaction disappears without a record.
Insight
Designed for choice
Use PayDoc with major clearinghouses, client-specific routes, and the Harbor clearinghouse as it comes online. The goal is not lock-in—the goal is control, accuracy, and full financial visibility.
FAQ
Common questions
Does PayDoc replace our clearinghouse?
Not necessarily. PayDoc is designed to work with major clearinghouses and Harbor's clearinghouse, depending on the client configuration.
Can PayDoc show where a claim is stuck?
Yes. The platform should connect submission, acknowledgement, payer response, work queue, remittance, and reconciliation status.
Is EDI activity auditable?
Yes. Source artifacts, timestamps, route decisions, responses, and workflow actions should be retained for drillback and audit.
Ready to see every cent clearly?
See how PayDoc can help your team collect, reconcile, and explain healthcare payments from claim to cash to GL.