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Claims Direct Product Details
What
is Electronic Claims Processing?
Electronic Claims is a paperless means of submitting medical insurance claims directly form the medical provider’s computer. Claims Direct allows the computer operator to enter and edit the claims data, create a “file” containing that data, and then, using a modem, transmit the file to the carrier via telephone lines.
Electronic Claims is a paperless means of submitting medical insurance claims directly form the medical provider’s computer. Claims Direct allows the computer operator to enter and edit the claims data, create a “file” containing that data, and then, using a modem, transmit the file to the carrier via telephone lines.
Will Claims Direct Integrate with
Practice Management Software?
Claims Direct can be used as a stand-alone program to create and transmit
claims. The program also comes with an import module that allows the
program to link with any Practice Management software package. Import
modules are available in fixed record (claim) and NSF formats. See
Demo
- No double entry of claim information
- Clearinghouse files can be redirected straight to the carriers
(Click
on Image for Larger View)
Carriers Accepting Electronic Claims
The following carriers in California can all be billed electronically
using Claims Direct.
- Medicare, for National Heritage
- Medi-Cal, for Professional, Out-Patient, In-Patient, Vision and CHDP
- Blue Shield of California Standard Business
- Blue Cross of California Private Insurance
- NEIC via clearing house
Advantages
of Electronic Claims Processing
- Easy entry of claims data, with immediate validity checking of entered data.
- Faster submission of claims to carrier.
- Full control over claim data processed by carrier.
- Faster reimbursement for clean claims, often as much as 4 times faster than for paper claims.
