Adonis uses Stedi to expand Revenue Cycle Management (RCM) capabilities

Healthcare

Adonis is a Revenue Cycle Management (RCM) technology company that empowers thousands of healthcare providers to maximize revenue and reduce the time and cost of collection. They do this through two software platforms: Adonis Intelligence and Adonis Billing. 

Adonis Intelligence is an AI-powered RCM platform that continuously observes revenue cycle data and deploys real-time alerts, recommendations, and automated issue resolutions throughout the RCM process. For example, Adonis can alert providers when there is a spike in claim denials for a particular payer and recommend resolution steps. Through personalized insights and automation, Adonis has saved customers millions of dollars in just the first six months of use. 

Adonis Billing streamlines billing operations with automated pre-certification checks, touch-free claim submissions, and real-time denial mitigation strategies. Powered by Adonis Intelligence, it helps providers maximize revenue by optimizing end-to-end billing workflows, minimizing billing mistakes, and using trusted automation to tackle the most tedious aspects of the billing process.

Challenge

The Adonis Intelligence platform continually analyzes customer Electronic Remittance Advice transactions (ERAs), also known as claim payments, to identify patterns in claim denials and find opportunities to improve the processing pipeline. Payers send ERAs in Electronic Data Interchange (EDI) format, which isn’t compatible with modern software platforms like Adonis. The Adonis team didn’t want to write and maintain their own EDI parser, so they began using Stedi’s EDI translation capabilities to transform ERAs into developer-friendly JSON for ingestion. 

When Adonis needed a clearinghouse to deliver 837P (professional) claims processing functionality for Adonis Billing, Head of Engineering Manoj Kintali says Stedi was the obvious choice. “At a startup like ours, time is of the essence. We had already built up a lot of trust with the team, so we knew Stedi was the right partner to help us integrate as quickly as possible.”

Manoj and his team also liked that Stedi’s APIs and customer service model are designed for modern tech companies. “Our engineering team wanted a very clean API with documentation that is easy to understand. We also wanted access to experts who could answer questions quickly. At some clearinghouses, you can wait days or even weeks for a response, but Stedi routinely responded to us in minutes.”

The Adonis Intelligence platform continually analyzes customer Electronic Remittance Advice transactions (ERAs), also known as claim payments, to identify patterns in claim denials and find opportunities to improve the processing pipeline. Payers send ERAs in Electronic Data Interchange (EDI) format, which isn’t compatible with modern software platforms like Adonis. The Adonis team didn’t want to write and maintain their own EDI parser, so they began using Stedi’s EDI translation capabilities to transform ERAs into developer-friendly JSON for ingestion. 

When Adonis needed a clearinghouse to deliver 837P (professional) claims processing functionality for Adonis Billing, Head of Engineering Manoj Kintali says Stedi was the obvious choice. “At a startup like ours, time is of the essence. We had already built up a lot of trust with the team, so we knew Stedi was the right partner to help us integrate as quickly as possible.”

Manoj and his team also liked that Stedi’s APIs and customer service model are designed for modern tech companies. “Our engineering team wanted a very clean API with documentation that is easy to understand. We also wanted access to experts who could answer questions quickly. At some clearinghouses, you can wait days or even weeks for a response, but Stedi routinely responded to us in minutes.”

Solution

With Stedi’s help, the Adonis team shipped new claims processing features within just a few weeks. Stedi is now the clearinghouse for all of the claims and claim responses that flow through Adonis Billing. 

When an Adonis customer submits a claim, the platform calls Stedi’s Professional Claims API to send the claim to the payer. Then, Adonis uses Stedi webhooks to automatically receive notifications about new 277 Claim Acknowledgments and 835 ERAs. Finally, Adonis uses Stedi’s 277CA Report and 835 ERA Report APIs to retrieve these responses in developer-friendly JSON.

In addition to the modern, well-documented APIs, Manoj says Stedi's thoughtfully designed UI made the integration process much easier. “The UI tools are really helpful to debug and understand issues. Features like advanced searching, human-readable error messages, and the way the claim view highlights important information save us so much time.”

Manoj also emphasizes that Stedi has provided truly exceptional support throughout the last several years.

“It’s like having an adjacent engineering team at your disposal who are experts in both EDI and the healthcare industry. There’s been a lot of effort to deeply understand what we’re experiencing and to help us resolve any issue that comes up as quickly as possible.”

With Stedi’s help, the Adonis team shipped new claims processing features within just a few weeks. Stedi is now the clearinghouse for all of the claims and claim responses that flow through Adonis Billing. 

When an Adonis customer submits a claim, the platform calls Stedi’s Professional Claims API to send the claim to the payer. Then, Adonis uses Stedi webhooks to automatically receive notifications about new 277 Claim Acknowledgments and 835 ERAs. Finally, Adonis uses Stedi’s 277CA Report and 835 ERA Report APIs to retrieve these responses in developer-friendly JSON.

In addition to the modern, well-documented APIs, Manoj says Stedi's thoughtfully designed UI made the integration process much easier. “The UI tools are really helpful to debug and understand issues. Features like advanced searching, human-readable error messages, and the way the claim view highlights important information save us so much time.”

Manoj also emphasizes that Stedi has provided truly exceptional support throughout the last several years.

“It’s like having an adjacent engineering team at your disposal who are experts in both EDI and the healthcare industry. There’s been a lot of effort to deeply understand what we’re experiencing and to help us resolve any issue that comes up as quickly as possible.”

Results

Through its partnership with Stedi, Adonis has expanded the functionality of both its intelligence and billing platforms. This expansion has helped Adonis grow its customer base and continue delivering exceptional savings and process improvements for existing customers.

Manoj says this is still only the beginning. “We love working with Stedi. Every few months, we discuss ways to expand the relationship to support building on our product down the line. The Stedi team has truly become thought partners as we’ve expanded. That kind of shared ownership and investment in our success is rare to find in an external partner.”

Through its partnership with Stedi, Adonis has expanded the functionality of both its intelligence and billing platforms. This expansion has helped Adonis grow its customer base and continue delivering exceptional savings and process improvements for existing customers.

Manoj says this is still only the beginning. “We love working with Stedi. Every few months, we discuss ways to expand the relationship to support building on our product down the line. The Stedi team has truly become thought partners as we’ve expanded. That kind of shared ownership and investment in our success is rare to find in an external partner.”

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Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Backed by

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Backed by

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.