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| Number
of Providers |
Monthly
Price |
| 1 2-5 6-10 |
$79.00 $158.00 $250.00 |
Medisoft Electronic
Claims Processing: $349
with enrollment and setup assistance
Click to view a map to access carrier agreements for each state
Click to view the current Medisoft Electronic Claims payer list
Instantly access eligibility information
It's not just about electronic claims Medisoft Electronic Claims Processing gives you the added benefit of eligibility verification. You will have instant access to a patient's health plan status, deductibles, and co-payment information. Eligibility verification reduces the time your staff spends on the phone tracking down this information.
This service enables providers to submit either batch or single real-time requests for patient eligibility status and insurance coverage details. Responses include request validation, patient demographics, member and subscriber ID, coverage status, copayment, medical groups and primary care physician data. Contact MST for pricing on higher transaction volumes.
| Number
of Providers |
Monthly
Price |
| 1
(500 transactions per month) 2-5 (1,200 trans. per month) 6-10 (2,700 trans. per month) |
$39.00 $78.00 $125.00 |
Click to view the current Medisoft Eligibility payer list
Click to view a flyer on Medisoft Eligibility Verification
Click to view a flyer on ROI using Medisoft Eligibility Verification
Quickly and easily post payments
Medisoft Electronic Claims Processing also offers Electronic Remittance Advice (ERA) for many payers. Medisoft Electronic Claims Processing downloads the ERA file from the payer. With a few keystrokes, the payments and adjustments are posted to the correct patients' ledgers. This saves time and eliminates the errors caused by math or keying errors often associated with manual posting.
Click to view an ERA payer list
You will need
Acrobat Reader to view the flyers
Medisoft Direct Modules
Medisoft Direct Modules allow you to send your
claims electronically direct to the payer. These electronic
claims are received and processed faster than paper claims which means faster payments.
Easier than paper claims
Medisoft Direct Modules are very simple to use. In NDCMedisoft, instead of selecting the option to print your claims, select the option to transmit electronic claims. The entire process is automated.
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Medisoft Direct Modules save you time by eliminating the need to print, sort by payer, and mail your claims
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Medisoft Direct Module save you money by eliminating the costs of forms, envelopes, and reducing the cost of labor associated with paper claims
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Medisoft Direct Modules direct dial to the payers no Internet connection is needed
Modules are available across the country
Click to view a listing of Medisoft State Direct Modules that are available
You will need Acrobat
Reader to view the brochure
SendClaim (Alternate State Direct Module option)
SendClaim is a powerful electronic claims processing system that includes automatic payment posting and fully automated claim submission and report retrieval for most payers.
SendClaim can process any type of claim1 to any payer across the country without monthly or per-claim fees.
- DIRECT to the payer! No per-claim or monthly fees!
Professional (HCFA-1500) and Institutional (UB-92) claims.
Includes ANSI remittance advice posting!
Works for Physicians, DME, Rehabilitation, Labs, Surgery Centers, Rural Health clinics, and many, many, many more!
- Transmit direct to any payer!
View Video Demos: Report Demo | Send Claim Demo
SendClaim can be used to submit claims and process payments for payers across the country. We are approved vendors in every state for Medicare (part A and B), Medicaid, and Blue Cross Payers. Our software can be used to submit commercial claims to any payer that accepts direct claims or you may send claims to the clearinghouse of your choice. There is even a commercial clearinghouse you can use at no cost to the provider. THIN, a collaboration of BCBS of Texas and BCBS of Illinois, is a very responsive and capable clearinghouse for over a thousand commercial payers. SendClaim has been a vendor partner with THIN for several years and we can provide the enrollment forms to get your provider in production in about a week without any testing requirement.
SendClaim does not use a print image to process claims. SendClaim reads the claims directly from the database and marks them as sent, just like the practice management system itself. This is why we can process so many types of claims that go above and beyond the capabilities of most clearinghouses or “direct modules” supplied by the practice management system developers. This is also why we can post the functional acknowledgements and electronic remittance payment files.
As SendClaim processes the claims the information is “mapped” into the electronic file format. During this mapping process we can make intelligent decisions about the data in the claim. For example, we can select the proper codes and values to send based on the type of services a patient has received. After mapping, the claims are reviewed against the edit rules to be sure the information is correct before they’re transmitted. The results of this review are shown on the Claim Validation report.
SendClaim was built from the ground up to be configurable by design. We can adapt to changing requirements and new payers without changing our core software, it’s simply a configuration item for us. This is also the reason one program can work for any payer across the country and it gives us the ability to include any information from anywhere in the practice management system in the electronic claim file.
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© 2008 Southern Horizons, Inc. All Rights Reserved.
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