Every Format, One Feed
Accept EDI, CSV, XML and API from any trading partner without changing your systems.
Missed SLAs Cost Health Plans More Than a Service Ticket
Every delayed eligibility file or stalled claim shows up somewhere on your P&L: a penalty, a rework hour or a member complaint that lands on your desk. BOLD Control automates EDI for healthcare payers, so those costs stop compounding.
Dashboard · Monday 20 SepTotal Claims Today1,567 ▲ 2.89%
Enrollment Rate12% ▲ 2.89%
Partner Clients200 ▲ 12.89%
Claims Error Rate5.5:1 ▼ 1.09%
Claims Summary190,090.36
Inbound Processed
Partner Analysis
Aetna270/271 · 837PLIVE
BlueCross835 ERA · 999LIVE
Cigna834 ENR · 277CALIVE
United Healthcare837I · TA1SYNC
EDI Traffic
09:41:22835 ERAAetnaACCEPTED
09:41:19999 ACKBlueCrossGENERATED
09:41:14270/271CignaVERIFIED
09:41:08837P ×412UnitedVALIDATED
01
Powerful EDI Solutions
Live Visibility
See transaction status before your core systems do, not after overnight batch.
Built to Scale
Process millions of payer transactions without adding headcount.
Compliance Assurance
Stay HIPAA compliant and audit-ready at all times
- Purpose-built HIPAA compliance functions
- Real-time audit trail generation
- Healthcare payer EDI validation
- Reporting built for audit and board-level review
02 · Next generation B2B startups
SLAs Slipping Through Your Fingers?
Claims delays do not just affect operations. They delay payments, increase administrative costs and create unnecessary financial risk. BOLD Control helps you see where transactions are slowing down, so you can resolve issues before revenue is affected.
- Identify claim issues before they become rejections
- Monitor every transaction from receipt through completion
- Keep reimbursement moving without unnecessary delays
03
Payer's Powerhouse
BOLD CONTROL delivers robust solutions for healthcare insurance providers, streamlining operations and ensuring seamless data exchange.
01
Eligibility & Enrollment
Real-time file tracking and automated error detection, so enrollment doesn't stall on manual mapping.
Read more ▸02Claims Management
Track every claim in real time and catch discrepancies before they become rejections.
Read more ▸03Customer Service
BOLD Control gives support and success teams instant access to subscriber and dependent records.
Read more ▸04Integrations
Connects to the payer networks and systems you already run. No rebuild required.
Read more ▸04
Support Engine
When a support rep cannot pull a subscriber's record in seconds, the call escalates, and eventually it lands on your desk. BOLD Control gives your team instant access to subscriber and dependent records, the moment data arrives.
- Instant Record Lookup
- Real-Time Discrepancy Alerts
- Detailed Audit Trails
- Role-Based Access
05
$2M
in SLA penalties avoided
“BOLD CONTROL helped us avoid $2M in SLA penalties last year. Our EDI-related operating costs are down 30%, and we've improved cash flow by accelerating claims processing by 45%.”
100%
HIPAA compliance
“With BOLD CONTROL, we sailed through our last audit. 100% HIPAA compliance and a 95% reduction in data breaches. It's peace of mind, quantified.”
72h → live
from 72 hours to near real-time
“We forklifted the entire process and gave capabilities to the support team they never knew existed. We've reduced our data lag from 72 hours to near real-time. The real-time data access BOLD CONTROL provides is invaluable.”
06
Seamless Connections
Integrate BOLD CONTROL effortlessly with your existing systems, from claims management to EDI translators, ensuring smooth data flow across your organization.
