Electronic Claims Processing is your one solution for all your health insurance claims. Sends all claims to one location saving you time and money Checks claims for missing information, valid procedure and diagnosis codes, and payer-specific edits improving claims acceptance Forwards accepted claims to the payer and sends a report to the provider on the status of submitted and rejected claims
Instantly access eligibility information It’s not just about electronic claims – Electronic Claims Processing gives you the added benefit of eligibility verification. You will have instant access to a patient’s health plan status, deductible, and co-payment information. Eligibility verification reduces the time your staff spends on the phone tracking down this information.
Quickly and easily post payments Electronic Claims Processing also offers Electronic Remittance Advice (ERA). Electronic Claims Processing downloads the ERA file from the payer. With a few keystrokes, the payments and adjustments are posted to the correct patients’ ledgers. This saves time and eliminates the errors caused by math or keying errors often associated with manual posting.
Real-time Claims Manager (Medisoft V12 only) Claim Scrubber (Medisoft V12 only)