Paper versus Electronic Claims Processing (ECP)

Many providers are not aware that not all "electronic claims processing" provides the same quick payment turnaround or other benefits as Medi-Claims. Please see our ECP versus office software section for more information on how we should be able to help you save time and money.

Paper Claims Processing is time consuming, expensive and results in unnecessary delays in getting paid. It is a lot like typing and record keeping with carbon copies before computers came along. You need more employees, there is a higher risk of errors, you are missing the cost savings of automating the process and giving the insurance carriers a built-in reason to delay paying your claims from 45 to 90 days. Click on Manually Processed Paper Claims to see a typical flow of paper claims with 11 steps from your office to receiving payment and 21 steps if your claim is rejected. If you are like most small offices, your total paper claims processing cost is $6 to $10 per claim before rejects--versus about 60% to 70% LESS cost with Medi-Claims ECP.

Medi-Claims and EDI Healthcare Network eliminate the common problems of converting from paper to electronic claims processing. Our program converts your paper or computer Super Bill (HCFA 1500) forms to the standardize format now required by HIPAA and insurance carriers, audits them for errors and electronically sends only the correct forms on directly to the appropriate insurance carrier for immediate processing and receipt of payment by you within 10 to 14 days.

Here are some of the Medi-Claims benefits that make it easier for you to convert from paper claims or a prior software program to us.

• No software to buy or new programs to learn or updates to retrain on.
• You do not have to convert all of your medical record keeping to electronic means just to have your claims submitted electronically. You do not have to change your key office procedures or scrap any existing office or patient management program to convert to our processing your claims for you.
• Medi-Claims processing meets all HIPAA regulations for electronic submissions of claims for you.
• We handle setting you up to electronically submit to new carriers such a Medicaid / Medicare or non-government insurance carriers so you can accept more business.
• Medi-Claims processing holds back and generates a report of all claims with errors so they can be corrected before first time submission to carriers.
• One of our specialties is cleaning up your old rejected claims file and getting you paid.
• Our processing is guaranteed to save you money and staff time. We offer a "trial" program so you only pay when you see it works the way we say it does.
• We are available to answer any questions you or your staff may have. You can contact us by phone or the "Ask Us Questions" forum on this website.

Click on Medi-Claims ECP to see a flow chart of the 4 steps from submitting a claim to your receiving payment with Medi-Claims and the EDI Healthcare Network.

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