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Claims & Eligibility

Insurance billing that doesn’t fight back.

Check coverage before the session, turn a signed note into a clean 837P claim, and track it all the way to payment — without ever logging into a clearinghouse portal. Built on the Office Ally clearinghouse, Mediyn handles the X12, the SFTP, and the follow-up; you just approve and get paid.

5,000+ payers · real-time eligibility & claim status · included on every plan

Claim #C-2041
Aetna PPO · $150.00
Paid
Eligibility verified
270 / 271
837P submitted
to clearinghouse
Accepted by payer
277 acknowledgment
Paid — ERA posted
835 → ledger
Submitted to paid in 11 days — no paper, no portal logins
Real-time eligibility

Know what’s covered before they sit down.

Mediyn runs a live 270/271 eligibility check against the client’s active plan and reads back what actually matters — copay, deductible status, coinsurance, and whether you’re in-network — in seconds, not a forty-minute hold. Verify at intake and before each visit, so a denied claim or a surprise balance never blindsides you weeks later.

Live 270/271 check via the clearinghouse
Copay, deductible, coinsurance & network status
Run it at intake and before each session
Pulled from the insurance card you already scanned
See client intake & card capture
Eligibility · real time
Active
Sarah Thompson · Aetna PPO270/271
Copay
$20
Deductible
$250 / $1,500
Coinsurance
10%
Network
In-network
Checked before the visit — no surprise bills, no hold music.
One-click submission

A signed note becomes a clean claim.

When you finalize a session, Mediyn assembles the 837P from data it already has — CPT, diagnosis, rendering NPI, charge — and submits it to the clearinghouse over SFTP. No re-keying into a payer portal, no hand-built X12, no transposed member ID. The claim that leaves is built from the record, so it’s right the first time more often.

837P built automatically from the signed note
Submitted to the clearinghouse over SFTP
No portal logins or hand-keyed X12
Superbills convert to claims in a click
Explore insurance billing
Submit claim · 837P
From the note
Service90837 · 60 min
DiagnosisF41.1
Rendering NPIDr. Okafor
Charge$150.00
Submit 837P to clearinghouse
Built from the signed note — no re-keying
Status tracking

Every claim, tracked to payment.

Mediyn issues automatic 276/277 status inquiries and keeps a full event history on each claim — submitted, accepted, in adjudication, paid — so you always know where the money is. No logging into three payer portals to chase a claim that went quiet; the timeline updates itself and surfaces anything stuck.

Automatic 276/277 status checks
Full status-event history per claim
See submitted → accepted → paid at a glance
Stuck claims surfaced, not buried
Claim status · 276/277
Submitted (837P)Mar 14
Accepted by payer (277)Mar 15
In adjudicationMar 19
PaidMar 24
Auto-checked — you never log into a payer portal.
ERA auto-posting

Payments post themselves.

When the payer remits, Mediyn ingests the 835 ERA and posts it against the claim automatically — billed, allowed, paid, and client responsibility reconciled without a calculator. Any remaining balance is invoiced to the client on the same ledger, so the entire cash-and-insurance picture stays in one place and always ties out.

835 ERA ingested and auto-posted
Allowed / paid / client-responsibility reconciled
Remaining balance invoiced automatically
One ledger for insurance and client payments
See online payments
ERA · 835 received
Auto-posted
Billed$150.00
Allowed$120.00
Payer paid$96.00
Client responsibility$24.00
Posted to the ledger · $24 invoiced to client
Denials & rework

A denial isn’t a dead end.

When a claim errors or comes back denied, Mediyn shows you why and gives you the levers to fix it — preview the raw 837P a biller can read, correct the issue, and resubmit; retry a claim that failed in transit; or void an accepted claim cleanly with the right frequency code. Rework is a few clicks, not a re-keyed claim and a phone tree.

Human-readable 837P preview for billers
Resubmit denied or rejected claims
Retry claims that errored in transit
Void accepted/paid claims cleanly (freq. code 8)
Claim status · 276/277
Submitted (837P)Mar 14
Accepted by payer (277)Mar 15
In adjudicationMar 19
PaidMar 24
Auto-checked — you never log into a payer portal.
Payers & credentialing

5,000+ payers, credentialing tracked.

Search a catalog of thousands of payers by name or payer ID, enroll your clinic with the clearinghouse, and track credentialing per therapist per payer — so claims always go out under a clinician who’s actually credentialed for that plan. The boring prerequisites that quietly cause denials are handled up front.

Searchable 5,000+ payer catalog
Clearinghouse enrollment per practice
Per-therapist, per-payer credentialing status
Claims routed under a credentialed clinician
Manage your team
Payers
5,000+
aetna
Aetna PPO
Payer ID 60054
Credentialed
Aetna HMO
Payer ID 60055
Credentialed
Aetna Better Health
Payer ID 128VA
Not yet
You stay in control

Nothing leaves without your say-so.

Automation shouldn’t mean claims firing off blind. Every claim can pause in a review queue for a biller to approve or reject, each carries a complete status-event audit trail, and you can resubmit or void at any time. Mediyn does the tedious X12 work — you keep the final call on what goes to the payer in your name.

See security & compliance
Review queue
Claim #C-2042 · CignaPending review
Approve & send
Preview 837P

Your evenings belong to you. Not your notes.

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