Benefits of Electronic Filing
Consider submitting CMS 1500 Claim Form electronically. Some of the main benefits of electronic claim billing are:
- Quality - A standardized electronic claim format ensures consistency, reducing the opportunity for errors in data entry and processing. It also allows submitters to exchange electronic data with multiple payers using the same data format.
- Reduced Cost and More Rapid Payment-
There will be a reduction in paper, postage and
administrative costs. Cash flow can be
significantly improved because Medicare claims
submitted electronically in HIPAA compliant
format can be paid 14 days after receipt. (Paper
claims are not paid until the 29th day of
processing.)
- Process Improvement –Electronic Data Interchange (EDI) ensures fast, efficient exchange of information, which helps streamline daily processes. This gives time back to all parties involved.
For more information about submitting EMC, call EDI Support Services (EDISS) at (800) 967-7902 or navigate on the Web to www.edissweb.com and begin streamlining your business operations.
How Electronic Billing Works
Med Claim Software
outputs the data from CMS-1500 form to a "Print
Image" file format. The Print Image file is the
same thing as if you were printing a claim out to
paper but without the lines. It is a text file that
can be opened with a program such as Notepad, Wordpad, or any other text editor.
Clearinghouses can easily import a print image file
and convert it to ANSI 837p and electronically
submit that claim for billing.
After successful transmission, an acknowledgement
report is generated and is either transmitted back
to the physician or placed in an electronic mailbox
for the physician to download. This report confirms
that the file was received and lacks format errors.
Once the claims are processed another report is
generated that indicates the number of claims
accepted and the total dollar amount transmitted.
Additionally, this report lists claims that were
rejected, as well as, the reason(s) for being
rejected. The physician should review this report
carefully. At this point, the physician can make
necessary corrections to the rejected claim(s) and
resubmit them.
Med Claim Software has partnered with a reputable clearinghouse provider to provide you with value-added clearinghouse packages that are the perfect addition to your software solutions. The cost is:
Unlimited claims
$60/month
One time setup fee $75
Call for more information about electronic medical billing.
