M-edi · For Home Health and dental providers

Every Medicaid claim, followed all the way through.

M-edi is a billing service for Home Health and dental providers. Upload the month, fix only what’s flagged, and follow every claim from sent to its final status. Coverage is checked for you, too.

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The better way

Claims checked before they go out.

No more: Rejections found weeks later

Mistakes caught before sending

ZIP+4, PAR dates and diagnosis codes are checked before a claim goes out, so problems are fixed before Medicaid sees them.

No more: Guessing where a claim is

Every claim in plain sight

Each claim shows where it is today, from sent to paid, with Medicaid’s answers already read for you.

No more: Calling to check coverage

Coverage known before you bill

Coverage is checked overnight on your schedule, so you know who is covered before the claim goes out.

What changes

What changes with RAVAD M-edi

M-edi checks every client and every claim before it goes out, sends the month to Colorado Medicaid in one batch, checks coverage on a schedule and reads every answer Medicaid sends back. Each claim gets one simple timeline, from sent to paid.

Fewer rejected claims

ZIP+4, diagnosis codes, PAR dates and doctor details are checked before a claim goes out.

Coverage checked first

Coverage checks run on a schedule, so you know who is covered before you bill.

Every claim followed to the end

Every answer from Medicaid is added to the claim, ending in Paid, Part paid or Denied.

Upload that forgives mistakes

Good rows are sent, rows with problems are held back with the reason in plain words.

Inside RAVAD M-edi

From spreadsheet to payment, in one place.

01Prepare and send

Upload the month. Fix only what’s wrong.

Upload a spreadsheet or add claims by hand. Every row is checked, the good ones go out together in one batch, and rows with problems are held back with the reason, so problem rows are fixed instead of sent.

  • Spreadsheet template or rows added by hand
  • Code details filled in for you
  • Problem rows held back for correction
  • The whole month sent in one batch
02Checked before sending

Problems caught before Medicaid sees them.

Every client is marked Ready or Incomplete. Open one and you see exactly what to fix: a ZIP+4 that isn’t real, a diagnosis code that doesn’t exist, a PAR that has expired or a doctor that is missing.

  • ZIP+4 and Medicaid ID checked
  • Diagnosis codes checked against ICD-10
  • Expired or missing PAR flagged
  • Doctor and billing provider NPI checked
03Coverage checks

Coverage checked while you sleep.

Set coverage checks to run on the 1st of every month or every Monday, or request one for tonight. In the morning each client shows Active, Ending soon or No active coverage.

  • Monthly or weekly automatic checks
  • Request a check for tonight
  • Coverage status on every client
  • Full history of past checks
04Claim tracking

Every claim followed to the end.

Each claim gets one timeline: generated, sent, accepted by HCPF, paid. Medicaid’s answers are read for you and added to the right claim, so you can see what was paid and what still needs work.

  • Status timeline for every claim
  • Answers from Medicaid read automatically
  • Filter by client, status and service date
  • Adjust or void a claim when something changes
05Payments

Know what was paid, to the cent.

M-edi asks Medicaid for the payment status of each claim on its own and asks again when there is no answer. Every payment record shows what was charged, paid and denied.

  • Payment status requested automatically
  • Charged, paid and denied amounts per claim
  • Part-paid claims easy to spot
  • Full history kept on the claim
How it works

One claim, one timeline.

  1. STEP 01UploadRows checked one by one
  2. STEP 02SendOne batch to Medicaid
  3. STEP 03AcceptedPassed Medicaid’s checks
  4. STEP 04PaymentStatus asked automatically
  5. STEP 05PaidClosed with full history

Works with

  • Colorado Medicaid (HCPF)
  • Home Health and dental claims
  • Address and ZIP+4 check
  • Spreadsheet upload and export

Security and privacy

  • Each provider sees only its own data
  • Account locked after repeated wrong passwords
  • Strong password set on first login
  • Billing agreement accepted on first login
FAQ

Questions we often hear

Short answers about RAVAD M-edi.

Still have a question?

Send it to us. The engineers who build RAVAD Software will answer you directly.

contact@ravadsoftware.com Ask us
Who is M-edi for?

Home Health and dental providers who bill Colorado Medicaid.

Do we need other RAVAD Software products?

No. M-edi works on its own: upload a spreadsheet or add claims by hand.

What happens to rows with mistakes?

They are held back with the reason shown, for example a ZIP+4 that isn’t real or an expired PAR. Fix them and send them with the next batch.

How often is coverage checked?

On the 1st of every month or every Monday, your choice, and you can request a check for tonight at any time.

For billing staff: which formats are supported?

X12 837I (institutional: Home Health) and 837D (dental); 270/271 eligibility and 276/277 claim status; TA1, 999, 277CA and 835 responses are read automatically. Payer: Colorado HCPF Medicaid.

How much does it cost?

A monthly subscription based on the size of your practice. Book a demo and we’ll send a quote.

Get started

See RAVAD M-edi in action.

Book a 30-minute demo. We’ll walk through a month of claims — checks, sending and payment status — and send pricing for your practice.

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