Apex EDI
Simple and Efficient Claims Processing Software
Apex EDI has been processing insurance claims for medical, dental, optometry, chiropractic, and many speciality practices since 1995. Apex EDI is ready to save your optometry practice time and money, no matter what practice management software or electronic claims processing you may currently use. By integrating with your existing optometry practice software, Apex EDI allows for faster claims processing; allowing you to maintain a profitable business while providing exceptional patient care.
MEMBER BENEFITS
PECAA Member Exclusive Pricing:
Unlimited Claims- Per rendering Provider/NPI$89 Monthly for Unlimited Claims Per Provider$100 Setup Fee or Practice Volume Plans- can be shared with multiple NPI’s$100 Setup Fee for account$55 for 75 claims (.48¢ a claim over 75)$64 for 100 claims (.48¢ a claim over 100) $102 for 200 claims (.48¢ a claim over 200) $137 for 300 claims (.48¢ a claim over 300) $171 for 400 claims (.48¢ a claim over 400) $194 for 500 claims (.48¢ a claim over 500) $269 for 750 claims (.48¢ a claim over 750)$321 for 1000 claims (.48¢ a claim over 1000) Service FeaturesElectronic ERA’s — First Year Free then $10 MonthlyEligibility Verification — Included in all plansClaim Scrubbing — Included in all plansReporting — Included in all plansTracking Claim Status — Included in all plansSupport — Included in all plansSecondary Claims Assistance Tool — Ask for PricingPatient Statements — Ask for Pricing
ACCOUNT SETUP
Account Setup:
Apex EDI is dedicated to providing a smooth and simple transition of your electronic claims processing.
New Apex EDI Customers:
- Please complete the Registration Form
- You may also learn more online at Apex EDI
- A member of the Apex team will contact you to provide an introduction and assist you with any questions you may have.
Existing Apex EDI Customers:
- Please contact Customer Support at Sales@apexedi.com to adjust your monthly billing to PECAA’s discounted rate.
- Existing customers can reach out to Support@apexedi.com to get their pricing updated with the Customer Care team.
- You can go to the Help Page to add providers to your account.
- Additional providers on existing accounts are a $50 set up fee that is charged on the following billing cycle.
ABOUT
PECAA Partnership:
As many offices are feeling the changes associated with running an EMR/EHR, PECAA has created an additional opportunity to assist their providers. Through a combined initiative with Apex EDI, PECAA will assist you in creating an improved insurance claims and billing experience.
This focus is to assist their providers to improve the technology and efficiency of daily operations. The PECAA claims portal operated by Apex EDI, Powered by Therapy Brands:
- Allows you to track and manage your insurance claims
- Available to any PECAA Member regardless of practice management software
- Software compatibility: Designed to assist practice management software to seamlessly combine the details of every claim you send.
- Increase Revenue: fast payments, friendly customer service, and low costs are benefits of using Apex EDI!
- Real time claims status and patient eligibility verification!
About Apex EDI:
Apex can offer your practice benefits and advantages you simply won’t find anywhere else. Apex exists to make sure you get paid faster by submitting electronic claims. Find out how we can take the time, effort, and worry out of processing insurance claims, so you can focus on caring for patients and growing your practice.
- Faster Payments—Apex works with more than 1,200 healthcare payer organizations to monitor the progress of every claim you submit, resolve problems, and make sure you get paid quickly.
- Higher Productivity—Apex works with any practice management system. At the end of every day, you simply click the Apex “One Touch” button to upload claims to our system, and we take care of the rest.
- Total Peace of Mind—Powerful claim tracking tools provide you with detailed, real-time information about the status of every active claim from any computer with an Internet connection.
- Happier Patients—Professional, efficient statements with perforated payment coupons and windowed return envelopes translate directly into faster payments, fewer complaints, and more satisfied patients.
- Lower costs—With Apex, there are no hidden fees or unexpected charges. You pay a one-time setup charge and a flat monthly rate that allows you to submit and process an unlimited number of electronic claims.
Learn more, Schedule A Demo, and get started with Apex today.
VIDEO: Sending Claims
Resources
- Apex EDI Vision Care Billing Basics
- Apex EDI Claims Submission Checklist
- Apex EDI Vision Care Billing Guide
Page reviewed 01/10/2025
