Workers’ Compensation billing is complex, with strict EDI requirements, frequent claim denials, and detailed documentation needs. SimpliClaim takes the guesswork out of the process by automating claim submissions, reducing errors, and optimizing reimbursements.

Common Challenges in Workers’ Compensation Billing

• EDI complexity – Requires specific loops, segments, and payer requirements.

• Claim rejections – Due to missing or incorrect information.

• Regulatory compliance – Providers must meet NY WCB and state-specific guidelines.

• Manual inefficiencies – Paper claims slow down payments and increase errors.

How SimpliClaim Solves These Issues

• Automated EDI submissions for faster, error-free claim processing.
• AI-powered validation to detect and correct errors before submission.
• Seamless integration with EMR and practice management systems.
• Real-time claim tracking and clearinghouse support.