|Item# 13||Medisoft Electronic Claims: McKesson RelayHealth or Electronic Claims DIRECT ===>|
Electronic Claim Processing Options
1. Clearing houses accept many different types of claims and will even print paper claims for carriers that cannot receive claims electronically.
2. Direct electronic claims modules let you submit claims directly to selected insurance carriers, saving submission fees.
No matter which option you choose, your insurance claims will be paid more quickly. Some options even offer claim editing capabilities to reduce errors that cause carrier rejections.
1. McKesson RelayHealth EDI Services
Mckesson RelayHealth EDI allows you to send your claims and retreive reports through the internet! (NO MORE dial up modems!)
Please click here for EDI ENROLLMENT DOCUMENTS Please send us an Inquiry to EDI@medicserve.com, or call us at
(888) 987-9335, (631) 941-1014 or FAX at (631) 941-1013
for more information, or for an application.
Click here to download the current Top 50 Claim Rejection Answers!
Top 50 Reasons for Claim Rejections
2. Direct Electronic Claims are as Easy as Paper
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. As a result, Free Electronic Claims Software Isn't really Free! MediSoft Direct Claims modules on the other hand work inside MediSoft, using the same familiar menu structure and commands.
Currently Available Direct Claims Modules
MedicServe recommends this product for medical practices and medical billing services, which see a concentration of patients who are insured by a particular insurance carrier. Direct insurance claims can save the "per-claim fee" which is charged normally by claims clearing houses. The Mckesson RelayHealth clearing house option on the other hand allows you to have a very efficient and integrated claim management, auto posting and electronic statement operation. Mckesson RelayHealth has very competitive rates, 39 cents per claim for Medisoft users, and they maintain a very reliable clearing house option.
You may decide to combine the Mckesson RelayHealth option with the Electronic Claims Direct module. If your office has a large relative concentration of patients covered by the ECD module insurance, then it may be cost effective to choose the ECD module for that insurance, and the Mckesson RelayHealth clearing house option for all your commercial claims. Please check the chart above to see if a direct claims module exists for your particular area and insurance carrier(s). If it is not there, then the Mckesson RelayHealth option is our recommended choice.
Please note: The ECD module requires the Patient Accounting program; it is not a stand alone software application.
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