Electronic Data Interchange (EDI) — automated, direct-to-payer claim submission — is completely free for all CedrusMed agencies. No hidden fees. No add-ons. Just a stronger, smoother billing experience built right into the platform you already use.

Generate and submit insurance claims

The Complete Claim Workflow

Every claim in CedrusMED follows this specific workflow. The diagram below shows every operation (what you do) and status (the result), including what happens when errors occur.

Electronic Claims (EDI).

Generate and submit insurance claims electronically, without paper.

  • Generate claims from billable services

  • Submit claims directly to payers in one click.

  • Track claim status in real time (accepted, rejected, paid)

  • Correct and resubmit rejected claims easily

  • Void submitted claims when needed

Generate and submit insurance claims

Electronic Remittance (ERA).

Receive and post payer responses automatically.

  • Download remittance advice (ERA) directly from the payer

  • Auto-post payments to the matching claims

  • Review adjustments, denials, and write-offs in detail

  • Reconcile expected versus received amounts

Eligibility.

Verify insurance coverage electronically, before you bill.

  • Check client eligibility in real time

  • Confirm active coverage prior to services

  • Reduce denials caused by inactive or invalid coverage

  • Keep eligibility results on record for each client

Verify insurance coverage electronically, before you bill.

Electronic Billing (EDI) at CedrusMed

CedrusMed handle insurance billing entirely online, with no paper and no manual back-and-forth. The
information you already capture in your daily work — your progress notes and services — turns automatically into ready-to-send
claims, so your team spends less time on paperwork and more time on the people you care for.

Sending claims is as simple as a click. Your claims travel securely and directly to each insurance, and you can watch their
progress every step of the way: you always know which claims were received, which were accepted, which are still in process,
and which were paid. There are no black boxes and no guessing — just clear, up-to-date status on everything you’ve billed.

Before you ever submit, CedrusMed helps you confirm that a client’s insurance is active and valid. This simple check up front
means fewer surprises and fewer rejections later, so more of your claims get paid the first time around.

When something does come back rejected, you don’t have to start over. CedrusMed makes it easy to correct the details and
resend, and to cancel a claim if it should no longer be processed. Everything stays organized in one place, with a complete
history of what was sent, when, and what happened with it.

As payments come in, CedrusMed brings the insurers’ responses back into the system for you and applies them to the right
claims automatically. You can see exactly what was paid, what was adjusted, and what still needs attention — making it far
easier to keep your books accurate and your revenue on track.

And because every agency works a little differently, CedrusMed lets you set up your billing once to match how your agency
operates, so everything runs smoothly from day one. Best of all, EDI is included free for every CedrusMed agency — a faster,
simpler, and more reliable way to get paid for the work you already do.

 

Legal Notice Regarding EDI, Documentation, and Claims

CedrusMed is a software platform that enables authorized healthcare professionals and organizations to record, manage, transmit, and maintain clinical, administrative, and billing-related documentation.

CedrusMed does not provide medical, billing, coding, legal, regulatory, or compliance services. CedrusMed does not create, generate, order, authorize, validate, or approve any clinical service, order, prescription, diagnosis, procedure, code, claim, authorization, or reimbursement request. CedrusMed does not determine medical necessity, eligibility, coverage, coding accuracy, claim validity, payment entitlement, or payer reimbursement decisions.

Each organization, provider, and authorized user is solely responsible for ensuring the accuracy, completeness, truthfulness, medical necessity, legitimacy, and legal compliance of all documentation, services, codes, authorizations, transmissions, and claims created, entered, submitted, transmitted, or relied upon through the platform. Users are also solely responsible for complying with all applicable federal, state, and payer requirements, including, without limitation, HIPAA, the False Claims Act, the Anti-Kickback Statute, Medicare, Medicaid, commercial payer rules, and any other applicable healthcare, privacy, billing, coding, documentation, and compliance laws or regulations.

CedrusMed may facilitate the electronic transmission or management of information, but the use of the platform does not replace professional judgment, internal compliance review, payer guidance, legal advice, or the responsibility of the provider or organization to verify all information before submission or reliance.

To the fullest extent permitted by law, CedrusMed disclaims any and all liability arising from or related to documentation, services, codes, authorizations, transmissions, claims, reimbursement requests, payer denials, audits, overpayments, penalties, investigations, or other actions created, submitted, transmitted, processed, or relied upon by users or third parties through or in connection with the platform.

This notice is provided for informational purposes only and does not constitute legal, medical, billing, coding, compliance, or regulatory advice. Organizations and users should consult qualified legal, compliance, billing, coding, or clinical professionals regarding their specific obligations.

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We have been helping Community Mental Health and Targeted Case Management agencies reduce costs, manage private insurances to comply with new regulations from Medicaid, and many other benefits.

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