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Connect Unlimited Financials to every payer you bill

Payer connectivity for Unlimited Financials

Unlimited EDI Switch connects Unlimited Financials with payers and clearinghouses, helping practices exchange eligibility, claim, remittance, and related transaction information through the workflows they already use. Transactions move automatically in both directions, and your staff keep working in Financials.

Server racks and network cabling in a data center
Team working through claims documents and reports at a desk
Core platformUnlimited FinancialsStart here
Payer ConnectivityUnlimited EDI SwitchExtends the platform

Unlimited Financials runs the workflow. Unlimited EDI Switch connects it to payers.

PLATFORM FOUNDATIONS

What the platform is built on

Four things every specialty organization asks about before anything else.

Team collaborating around a table of laptops

THE MOVING PARTS

Unlimited EDI Switch at a glance

Every payer-facing transaction your revenue cycle depends on runs through one always-on, encrypted connection, so claims, remittances, and eligibility move continuously into Unlimited Financials instead of waiting on nightly batch files.

Claims Submission

  • 837 professional & institutional claims
  • Claim status tracking
  • Automated re-submission on rejection

Remittance Processing

  • 835 electronic remittance advice
  • Handoff to automated payment posting
  • Secondary claim generation

Eligibility & Benefits

  • 270/271 real-time eligibility
  • Coverage and benefit detail retrieval
  • Prospective eligibility checks

Payer Routing & Configuration

  • Payer classification schema
  • Custom state carrier route maps
  • Payer-specific behavior rules

Licensing & Subscriptions

  • Consumption-based subscriptions
  • No per-interface license purchases
  • Transparent platform-load reporting

IN PRACTICE

What EDI Switch actually does

ALWAYS-ON CLEARINGHOUSE CONNECTION

Replace batch files with a real-time, bi-directional channel

Most practice management systems still rely on overnight batch transmissions to the clearinghouse. Unlimited EDI Switch upgrades that connection to a secured, encrypted, API-based integration that exchanges claims and remittances continuously, and lands the results inside Unlimited Financials.

  • Real-time, bi-directional claim and remittance exchange with the clearinghouse: no overnight batch windows
  • Claim status updates flow back into Unlimited Financials automatically, so A/R teams aren't checking payer portals one claim at a time
  • Rejections route back into Financials' denial workflow rather than sitting in a batch error file
  • A modernized integration engine standardizes communication across every connected payer

837 CLAIMS & 835 REMITTANCE

The standard transaction sets, handled end to end

Unlimited EDI Switch handles the core X12 transaction sets your revenue cycle runs on: 837 claims out, 835 remittances in, feeding directly into the charge validation and payment posting modules of Unlimited Financials without manual file handling.

Charge review & claim filing
  • Direct, secure X12 clearinghouse claim filing for 837 professional and institutional claims
  • 835 remittance ingestion feeds the automated payment posting and reconciliation workflows in Unlimited Financials
  • Secondary claims are generated and routed automatically once primary remittances post
  • On-demand EOB snapshots give staff readable remittance detail from inside the claim or A/R workflow

270/271 ELIGIBILITY

Coverage checks at every step of the visit

Eligibility verification shouldn't be a once-a-week batch job. Unlimited EDI Switch runs 270/271 transactions on demand, at scheduling, at check-in, and again before claim submission, and writes the answers into the financial clearance module of Unlimited Financials.

Eligibility & authorization
  • Prospective eligibility checks verify coverage in advance, replacing manual payer-portal lookups
  • Real-time eligibility supports prompt financial counseling and clearer patient conversations
  • Coverage and benefit details flow directly into financial clearance and cost-estimate workflows
  • Eligibility refresh triggers automatically when demographic or insurance data changes in Financials

PAYER CONFIGURATION & LICENSING

Payer-aware routing without legacy interface fees

Advanced payer classification, insurance carrier, patient assistance, skilled nursing facility, and more, drives connection behavior across the platform, while consumption-based subscriptions replace traditional per-interface licensing.

  • Payer classification tailors connectivity and reimbursement behavior to source-specific requirements
  • Custom state carrier route maps allow direct connections where they're available instead of general clearinghouse routing
  • Consumption-based subscriptions reflect actual platform load instead of charging per legacy interface
  • Removing per-interface license purchases reduces total cost of ownership and clarifies what you're paying for

NOT A SEPARATE SYSTEM

How Unlimited EDI Switch connects to Unlimited Financials

EDI Switch is not a separate system your team logs into. It is the payer-facing edge of Unlimited Financials. Everything it exchanges is worked inside the platform your staff already use.

1

Transactions flow into Unlimited Financials

Claim acknowledgements, remittances, eligibility responses, and rejections land directly in the Financials modules that own them: charge validation, payment posting, financial clearance, and A/R management.

2

Staff manage responses through Financials workflows

There is no separate EDI console to monitor. A denied claim becomes a task in the denial worklist; a posted remittance becomes a reconciliation step. Your team works one queue, not two systems.

3

Fewer separate systems and payer portals

Real-time connectivity reduces the portal-hopping and manual status checks that come with batch-file clearinghouse relationships, and removes the per-interface licensing that grows every time you add a payer.

Team working through claims documents and reports at a desk

BY THE NUMBERS

The platform behind EDI Switch

99%
Timely claim filings
41%
Decreased rejection rates
$70B+
Net new charges annually
4,500+
Clinical offices

IN THEIR WORDS

What specialty practices say about Unlimited Systems

Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.

Erin Wilcher
Executive Director, Commonwealth Cancer Center

I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.

Sam Wheeler
CFO, SCOA

The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.

Ernelita Dacumos
Billing Manager, SHOM

Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.

Melissa Shook
Medical Biller, SHOM

BUILT IN, NOT BOLTED ON

What you get on day one

One connection, every transaction type

837 claims, 835 remittances, and 270/271 eligibility all run through a single secure connection instead of separate point-to-point clearinghouse setups.

Consumption-based pricing

Pay for the platform load you actually generate instead of per-interface licenses that scale poorly as you add payers and locations.

Payer-specific routing logic

Payer classification and custom carrier route maps direct each transaction down the most efficient path automatically.

Native to Unlimited Financials

EDI Switch isn't a bolt-on interface. It's the payer connectivity layer for charge validation, payment posting, and A/R management inside Financials.

QUESTIONS, ANSWERED

Frequently asked questions

What is Unlimited EDI Switch?

Unlimited EDI Switch is the payer connectivity capability for Unlimited Financials. It links the platform to your clearinghouse and payers through a real-time, encrypted connection, handling 837 claims, 835 remittances, and 270/271 eligibility transactions automatically.

Can we use Unlimited EDI Switch without Unlimited Financials?

No. EDI Switch extends Unlimited Financials. It moves transaction information into and out of the platform, and the resulting work is managed in Financials' clearance, posting, and A/R workflows. Unlimited Financials is the starting point.

Does this replace our clearinghouse?

It connects to and routes through your clearinghouse relationships. Custom carrier route maps can establish direct connections for specific payers where those are available, which reduces reliance on general clearinghouse routing.

How is Unlimited EDI Switch priced?

Through consumption-based subscriptions tied to platform load, rather than the per-interface licensing common with legacy practice management systems.

GET STARTED

Connect Unlimited Financials to your payers

See how eligibility, claim, and remittance traffic moves through EDI Switch and lands in the Unlimited Financials workflows your team already works in.

★★★★★4.8/5G2★★★★★5/5Gartner★★★★★5/5
6,500+ specialty providersSOC 2 certified