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 carrier's 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. Few other carriers offer this option, making MediSoft clearing house claims the perfect partner with direct claims modules in most practices.
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
Clearing House Claims
NDC Health EDI Services
NDC Health EDI (formerly a division of Equifax) offers electronic claim submission services for Medicare, Medicaid, Blue Cross/Blue Shield and commercial carriers in most states. NDC's offices are located in Atlanta, Georgia, but all claim submission and support calls are made on toll-free phone lines. NDC submission software is included with all MediSoft products, PractiSoft and Just Claims. NDC claims are priced at $.39 each for MediSoft users.
NDC also offers other services like eligibility verification, managed care transactions, credit card processing and check guarantee through StatLink Select -- a special version of NDC software for MediSoft users.
Electronic transactions are provided for healthcare practices and billing services. For a limited time, NDC is offering
FREE
startup ($125 to $400 value) for healthcare practices and billing services using any other clearinghouse. All healthcare practices can switch for free -- billing services with one client pay half the normal startup fee, while billing service with two or more clients pay nothing to switch.
NDC is MediSoft's exclusive electronic claims clearinghouse. Count on NDC for quality service and low, competitive prices!
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 MediSoft for DOS. Note: Medicare formats transmit claims for Medicare Part B claims only.
| State |
Carrier/Description |
| AK |
Aetna Medicare Part B claims |
| AR |
Arkansas Medicare Part B claims |
| AZ |
Arizona All Payor Network
Aetna Medicare Part B claims |
| CA |
Northern California Medicare Part B claims
Southern California Medicare Part B claims
MediCal |
| CO |
North Dakota Medicare Part B claims |
| CT |
Travelers/Metrahealth Medicare Part B claims |
| DC |
Pennsylvania Electronic Medicare Service Medicare Part B claims |
| DE |
Maryland Health Information Network
Pennsylvania Electronic Medicare Service |
| FL |
Florida Blue Shield, Health Options HMO, Medicare Part B claims
Unisys |
| GA |
Aetna Medicare Part B claims |
| HI |
Aetna Medicare Part B claims
Hawaii Med Serv Assoc. |
| IA |
Iowa Medicare Part B claims |
| ID |
Cigna Health Care |
| IL |
Illinois Blue Cross/Blue Shield, Medicaid, Medicare Part B claims |
| IN |
Indiana Administar Medicare Part B claims |
| LA |
Arkansas Medicare Part B claims |
| MD |
Maryland Trailblazers
Pennsylvania Electronic Medicare Service
Maryland Health Information Network |
| MI |
Illinois Blue Cross/Blue Shield Michigan Medicare Part B claims |
| MN |
Travelers/Metrahealth Medicare Part B claims |
| MS |
Travelers/Metrahealth Medicare Part B claims |
| NC |
Cigna Health Care |
| ND |
North Dakota Blue Cross/Blue Shield, Medicaid, Medicare Part B claims |
| NV |
Aetna Medicare Part B claims |
| NJ |
Pennsylvania Electronic Medicare Service |
| NM |
Aetna Medicare Part B claims |
| NY |
Group Health (Medicare Part B claims)
Group Health (Commercial)
Upstate Medicare Part B claims
Empire Blue Cross/Blue Shield Medicare Part B claims |
| OH |
Nationwide Mutual Medicare Part B claims |
| OK |
Aetna Medicare Part B claims |
| OR |
Aetna Medicare Part B claims |
| PA |
Pennsylvania Electronic Medicare Service Medicare Part B claims |
| SD |
North Dakota Medicare Part B claims |
| TN |
Cigna Health Care |
| TX |
Texas Health Information Network |
| VA |
Pennsylvania Electronic Medicare Service (Medicare Part B claims in Alexandria, Arlington, Fairfax and Falls Church counties)
Travelers/Metrahealth Medicare Part B claims |
| WA |
Aetna Medicare Part B claims
National Data Exchange
Washington Medical Services Corp. |
| WI |
Wisconsin Paperless System |
| WV |
Nationwide Mutual Medicare Part B claims |
| WY |
North Dakota Medicare Part B claims | |
