MedClaims®MedClaims®Patriot Medical®'s electronic claims submissions module, MedClaims®, helps you stake your claim to a more efficient and profitable practice. Each day, your practice faces many challanges. The most compelling is the need to gain and maintain better fiscal control. Electronic Claims Submissions is a necessity in today's healthcare environment. It saves the two things hardest to come by: time and money.
MedClaims® provides you with direct submissions to Medicare, Blue Cross/Blue Shields for selected states without a per claim charge, and to commercial carriers via a clearing house.
MedClaims® captures and transmits health insurance claims to over 80 commercial insurance carriers including Medicare and Blue Cross/Blue Shields for selected states.
With MedClaims®, you submit directly to your payors and get your claims processed in a matter of hours, not days. No longer will your practice suffer the inefficiencies that result from paper claims: high processing expenses; long reimbursement schedules; and high claims rejection due to human error. With MedClaims®, claims are quicker and easier to prepare. The needed information is automatically loaded from Patriot Medical®; claims get to your payers quickly; errors are minimized; and claims rejections are reduced. As a result, you get paid faster, vastly improving your cashflow.
In fact, industry studies show that you can expect payment in seven days. You will notice increased cash flow, faster turnaround and fewer days outstanding for your receivables. You can expect a 25% increase in productivity over handling "paper claims". Much less time will be spent resolving problems, and more time spent proactively pursuing reimbursements.
All your claims are automatically loaded into MedClaims® as a by-product of posting charges in Patriot Medical® through Post Transactions. There is no need to reenter data or do double entry. No special entry is required to distinguish between a paper claim and an electronic claim. MedClaims® gives your practice the ability to transmit claims electronically via modem through standard telephone lines. Your office staff may preset a time to automatically call your payer to transmit claims without your staff's presence.
MedClaims® showcases an On-Line Editor which verifies the accuracy of required insurance information before claims submission. Your claims are prepared for submission using an extensive series of check and verifications for absolute claim acceptance.
A Help Feature provides a detailed list of the error checking comments found in MedClaims®. The Help Feature gives a description of each comment and what is expected on the forms you are transmitting.
This report lists all claims with errors detected that may cause claims rejections including insurance company, patient account number, insurance form number, provider and error description. Claims are marked until the errors are corrected. Number of claims and dollar totals are included.
This is an audit report of all claims submitted electronically indentifying the insurance company, account numbers, amount, number of forms submitted, and dollar totals.
Additional report formats are available for your claims data by using Microsoft FoxPro®'s Report Writer.
[Table of Contents] | [Contact PHD, Inc.] | [About PHD, Inc.]
Comments and bug reports welcome at: scheah@ee.net
Last Revision: