Solving your billing needs since 1985.
Join an ever growing family of healthcare providers choosing to team up with MDX.
About us
Since our inception in 1985, Medical Data Exchange (MDX), has been serving the healthcare industry in billing Hospital and physician claims and related data. We submit millions of Hospital and physician claims per year, electronic and/or hard copy, with paid first submission average of 96%. We support hundreds of hospitals, their affiliated physicians and associated ancillary service providers.
Services
MDX provides a comprehensive set of programs to hospitals, medical groups, LTC, SNF, Home Health Agencies and physicians. These include UB04 form edits (Provider and Payor Specific), HCFA-1500 form edits (Provider and Payor Specific), and other system features to support Healthcare information systems.
Skills
We post ANSI 835 Files to our database and can forward the ANSI 835 Files to your core financial system. We can upload bill notes and, account activity and adjustment transactions. These options can create a complete and comprehensive account audit trail.
MDX System addresses all HIPAA Compliance issues. MDX Information Systems staff is dedicated to providing electronic links to any payer.
MDX has established a direct data link with DHS in Sacramento to provide real-time Medi-Cal eligibility transactions to our clients. This fail-safe method ensures that claims transmitted are eligible for reimbursement, regardless of registration deficiencies.
At MDX, we understand the importance of HIPAA compliance in the healthcare industry. That's why we have designed our MDX System to address all HIPAA compliance issues. Our system is secure and reliable, ensuring that your patients' data is always protected. With MDX, you can rest easy knowing that you are fully compliant with all HIPAA regulations. So why wait? Sign up for MDX today and experience the peace of mind that comes with knowing your data is safe and secure.
MDX- All Payer Claims Processing System Features:
• Eliminates most of denials
• Provides specific edits for all State programs, Medi-Cal, Medi-Cal Managed Care, CCS, Family Pact, Every Women Counts, and County Organized Health Systems, CMSP, etc., Provides payer specific edits for as well Commercial and Medicare claims.
• Performs real-time Medi-Cal eligibility verification, identifies correct payor, and supplies appropriate edits.
• Reviews Facility generated procedure codes to ensure appropriate billing and to decrease claims handling.
• Automates follow-up activities with easy resubmission of claims or creation of claims inquiry forms.
• Updates billing requirements and procedure changes real-time and system wide, eliminating the need for facility personnel to load new data or new programs.
• Dedicates on-line customer service support with direct access to biller workstations.
• Customizes software to satisfy facility’s unique billing needs.
• Provides a Relational Database to support timely ad-hoc reporting.
• Generates on-site reports, hard copy claims, and inquiry forms.
• Uploads electronic R/A, biller notes, and follow-up information directly to facility’s host system.
• Requires no hardware, support, or maintenance contracts.
• Offers outsourcing of our experienced staff for billing or follow-up needs.
• Dedicates 39 years of electronic/hard-copy billing specialization to our clients.
MDX/MAXX II SYSTEM OVERVIEW:
The Client’s business office workstations are securely connected to the MDX central system. Client’s claims data is then downloaded and fully edited, utilizing the MDX/MAX II Global Claims Editor program. As a result of our Global Claims Editing, billing staffs are only required to review or correct claims with errors. Claims needing additional work are automatically retrieved by alpha for each individual biller. With each claim corrected, the biller is automatically presented with the next claim to edit. MDX provides a customized procedure mapping system that automatically matches a hospital procedure code to the correct code. Working closely with management, Hospital claim’s idiosyncrasies are identified and corrected via this program. Non-eligible services can be identified, removed and documented to a write-off report. Clients staff can resume billing via SFTP or VPN.
Award Winning MDX/MAX II
Relational Database System
The MDX/MAXX II System provides a complete interactive management system for electronic and hard-copy claims submission resulting in limited denials, reduced days in A/R, minimized FTE involvement, excellent technical support and exceptional reporting capabilities.
Medical Data Exchange
The MDX/MAX II Global Claims Editor Reduces Biller Intervention
Procedure Code Mapping
Billing Procedure Oversight
Off-Site Staff Support Backup
R/A and EOB for Timely and Effective Follow-up
Flexible Report Generation – System Generated or Ad Hoc
Network Configuration
Call us now
Need more information or if you are still undecided, call us now to speak to one of our dedicated support reps.
We are client-focused
Client focus is at the heart of everything we do. We believe that by putting our clients first, we can provide them with the best possible service.
We start by listening to our clients and understanding their needs. Providing excellent customer service and going the extra mile to make sure our clients are satisfied. We are committed to building long-term relationships with our clients. We believe that by working together, we can achieve great things.
We offer a free consultation to learn more about your billing needs and goals. We work with you to develop a customized solution that meets your specific requirements. We provide ongoing support to ensure that you are successful. We are always available to answer your questions and address your concerns. We are confident that you will be happy with our client-focused approach. If you have any questions, please do not hesitate to contact us.
Contact us
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