Synchronized
Systems Inc.
EDI Integration Specialist
Synchronized Systems has been providing billing software, utilities, and systems to the provider community for over 25 years. Our products help make complex Medicaid, Medicare, and third-party billing tasks more efficient.
Trusted EDI Solutions
CORE Phase II Compliant
Our eligibility and claim status solutions are fully CORE Phase II compliant, ensuring direct connections with certified organizations with no transaction fees.
Real Time Eligibility
SOAP-enabled real-time process that delivers results in under 1 second. Works for small and large volume operations with healthcare revenue management.
5010 Tested & Certified
All Synchronized Systems software and translators are fully tested and certified for HIPAA 5010 compliance, ensuring worry-free operations.
EDI Translation Product Offerings
Synchronized provides translation solutions that import data from standard Excel CSV files and create HIPAA-compliant output for direct submission to the payer. Product support contracts INCLUDE mandated payer changes for a worry-free product lifecycle.
Eligibility
Real-time and Batch
Real-time and batch eligibility verification with Medicaid, Medicare, and third-party payers. SOAP-enabled with transaction times under 1 second.
Payments
Electronic Remittance
ERA processing with full import and conversion to Excel for analysis, reconciliation, and reporting. Supports all payer formats.
Claim Billing
Professional, Institutional, Dental
Comprehensive claim billing for all types. Import from Excel CSV and create HIPAA-compliant 837 output for direct submission.
Prior Authorization
PA / DVS
Prior Authorization and Dispensing Validation System (DVS) support for medications and procedures with real-time connectivity.
Claim Status
Real-time Tracking
Track and monitor claim status in real-time. Automated inquiry processing with all major payers and instant response handling.
Claim Acknowledgment
Automated Processing
Receive and interpret 277CA and U277 responses. Understand claim acceptance, rejections, and required corrections instantly.
Procedure Grouping
Ambulatory Patient Grouping
Advanced APG processing for accurate reimbursement calculations. Comprehensive procedure grouping logic with full compliance.
Format Migration
Seamless Conversion
Convert between HIPAA 4010 and 5010 standards effortlessly. Ensure continued compliance during transition periods.
Attention Synchronized Customers
Please monitor your E-mail for notices about the latest products and software patches. We regularly release updates to ensure compliance with the latest payer requirements and HIPAA standards.