Under the hood

Routing and EDI

MindBill converts one bill resource into the format and route its claims administrator accepts, then normalizes the responses back into a lifecycle your application can use.

Resolve the claims administrator

Workers' comp routing starts with the claims administrator, not a patient's health plan. MindBill uses payer-directory records, claim-number patterns, and the name supplied by your application to suggest a destination. A user can review or override the match before submission.

Connected networks

MindBill maintains routing integrations with the major workers' compensation networks used by its payer directory. Your product does not need to implement each network's enrollment, transport, acknowledgement, or destination logic.

NetworkMindBill abstracts

CariskElectronic payer destinations and transaction delivery

JopariWorkers' comp e-billing routes and acknowledgements

Data DimensionsElectronic bill routing and payer-specific destinations

Coverage depends on the specific claims administrator and route available at submission time. The API returns resolved delivery choices rather than promising that every payer supports every route.

From JSON to 837P—and back

For an electronic professional bill, MindBill emits the X12 837P transaction using the 005010X222A1 implementation. The network responses arrive in stages:

837P sent→999 syntax acknowledgement→277CA claim acknowledgement→EOR / payment

999 accepted

The EDI interchange and transaction structure passed syntax checks.

277CA accepted

The claim passed the receiver's claim-level intake checks.

EOR

The claims administrator adjudicated the bill and reported payment, adjustments, or denial reasons.

Fallback routes

When an electronic destination is unavailable or a workflow requires an override, MindBill can represent fax, physical mail, or email delivery. The review UI shows the actual destination before the user submits. The selected route is recorded with the bill history.