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Electronic Claims Service
E·Z BIS now offers a perfect solution for filing claims electronically. We have teamed up with Emdeon (formerly WebMD), the largest electronic claims clearinghouse in the U.S. to provide an efficient and cost-effective EDI (electronic data interchange) service.
Several factors set this new service apart from other electronic claim clearinghouse alternatives:
Highly Automated
Unlike most other methods for filing claims electronically, the Emdeon service is designed specifically for E·Z BIS software. We developed the interface to prepare and send claims in a single, streamlined process. In fact, filing claims electronically requires no additional procedures. Using other third-party clearinghouses, there are usually several extra cumbersome steps needed for transmitting the claims.
With Emdeon, the E·Z BIS software automatically detects which claims should be sent electronically and transmits them through the modem. Status reports for previously transmitted claims are received from Emdeon and automatically printed without extra hassle.
E·Z BIS Support
With most clearinghouses, obtaining technical support can be a difficult or impossible task. When calling a third-party clearinghouse with a problem, often the solution offered is “It’s the practice management software’s fault. Call your software company.”
This kind of finger-pointing is frustrating—to say the least. With the E·Z BIS/Emdeon connection, we handle all of the support for the electronic claims process. You get the same high level of assistance that you have come to expect for your E·Z BIS software.
Lower Cost
A recent study of healthcare providers, sponsored by the State of New Jersey, showed the tremendous savings available when using electronic claims:
Not only do you save over paper claims, but with flat-rate monthly pricing for commercial insurance, costs are considerably lower than those of most other clearinghouses. For only $34.95 per month, you can send an unlimited number of claims to participating payers. These are commercial insurance companies who contribute to the cost of providing nationwide EDI services. Examples include Aetna, Cigna and United Healthcare. Emdeon files electronically to over 600 participating payers.
Non-participating payers typically include Medicare, Medicaid and Blue Cross*. Claims for these insurance plans are only 38 cents per claim.
Claims can be filed electronically to Emdeon for nearly every insurance company. For a complete list of payers with electronic connections to Emdeon or to look up details for a specific insurance plan, click the following link:
Emdeon Payer List (large download)
There are some small or specialty insurance plans that do not electronic transactions. Many doctors prefer to send all claims electronically, even for carriers who do not accept electronic claims. Rather than having your office staff print and sort paper insurance forms, stuff envelopes and mail the claims, Emdeon will handle the bothersome paper functions for you! For a small per-claim fee of only 48 cents per claim, Emdeon takes all of the paper out of filing insurance.
* Blue Cross Blue Shield is a participating payer in LA, MD, NJ and DC.
Emdeon Electronic Claim Rates:
| Initial Set-up Fee | $99.00 |
| Monthly flat fee for participating payer claims | $34.95 |
| Per claim fee for non-participating payer claims | $0.38 |
| Per claim fee for paper claims (submitted electronically, printed by Emdeon) | $0.48 |