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Guidelines

The following guidelines are provided in order to make your experience with electronic claims profitable, successful and uneventful. Electronic claims can be a very useful tool, providing cost savings, increase cash flow and decreased workload, but a sense of commitment and dedication are required.

1. Prepare your staff for electronic claims, Electronic Claims in the long run reduces workload, but at the beginning the workload might increase during the preparation and early stages of electronic claims. For example, providers sending in the capture or NSF format might need to change the spelling of an insurance company, in order that our system can detect the correct payer.
2. Organize your office, Many health care providers believe that their office is organized, but with the efficiency of electronic claims an unorganized office will become overwhelmed by the amount of information received. 
3. Review payer list, Please take a look at our payer list before signing up for electronic claims. Although, every insurance company must accept claims by 2002, some have not made the transition as of yet. Make sure the companies that you are most interested in sending electronically is on the list. If at least 30% of your daily claim volume can be sent electronically we recommend signing up for electronic claims. The cost savings and cash flow increase and still be achieved.
4. Learn to send you claims electronically, We suggest that the healthcare provider, especially those within a small practice, learn how to send claims electronically along with the other features this site has to offer. Many small practices experience a high number of turnovers, which can affect the practice's day to day operations of claim filing.
5. Read you report, When you send claims electronically you will receive a rejection, acceptance and status reports. These reports will alert you to any problems your claims maybe having or inform you at to the current adjudication stage of your claims.
6. Reconcile your claims, Most medical management systems have the ability to accept payments and print out aging reports. It is a good idea to utilize these features in order to catch claims that are aging out. Most insurance companies have short filing limits, usually 90 days, this will alert you that a claim or set of claims may need to be retransmitted.