
Lightning-Fast Insurance Claims!
Many health care billing programs can send insurance claims with a modem. MediSoft has many options for electronic claims -- from clearing house claims for easy, universal access, to direct electronic claims modules for selected insurance carriers that eliminate per-claim fees. All MediSoft software includes clearing house electronic claims software at no extra charge.
Electronic Claims are Faster than Paper
Electronic claims significantly reduce the amount of time a practice waits to be paid for their services. On average, electronic claims are paid in half the time of paper claims. Electronic claims improve payment speed in two ways: First, the mail system is avoided. An electronic claim can arrive at a carriers office within 24 hours and be ready to be paid by their computer. Contrast this with the time it takes for the post office to deliver the mail and data entry staff at the carrier's office to enter the claim information! Second, insurance carriers give priority processing to electronic claims. Medicare processors cut two weeks off their payment time to give providers the incentive they need to send claims electronically!
Which Claims Can Be Sent Electronically?
MediSoft Direct Electronic Claims software is offered for selected insurance carriers. Medicare, Medicaid and Blue Cross/Blue Shield accept claims directly from providers and billing services in most areas.
Electronic Claims are as Easy as Paper
Billing data is entered into MediSoft, then is used to print paper claims or submit claims electronically. No additional data entry is required -- Just select the Electronic Claims menu option!
Free Electronic Claims Software Isn't Free
Carrier-supplied software works differently than MediSoft, requiring extra time to learn and use. Claim information sometimes must be entered a second time to use carrier-supplied software. MediSoft Direct Claims modules work inside MediSoft, using the same familiar menu structure and commands.
- Carrier Tested and Approved
- Works Inside MediSoft
- No Data Reentry
- Usually No Per-Claim Fee
State |
Code |
Carrier |
Claims Accepted |
ERA |
CA |
CATA |
Transamerica Occidental Life and Casualty |
Medicare Part B for Southern California |
Y |
CA |
CABS |
National Heritage Insurance Company |
Medicare Part B for Northern California |
Y |
CA |
CAMC |
MediCal |
MediCal |
|
Direct Electronic Claims Modules
When a practice sees a concentration of patients who are insured by a particular insurance carrier, direct insurance claims can save the per-claim fee common with claims clearing houses.
Currently Available Direct Claims Modules
Following are currently available MediSoft Direct Claims modules for the state of California. Availability of ERA Auto Pay, a MediSoft product for automatically applying payments based on Medicare's electronic remittance advice, is noted in the ERA column. Contact Physician Computer Services© at (559)594-1990 for details.
Pricing:
MediSoft Direct Electronic Claims modules are priced at $699 each for single payor modules, and $999 for all payor modules.
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