Increase efficiency, enhance reimbursements and reduce costs
 
Electronic claims

MDoffices uses national standard healthcare formats to transmit claims directly to Medicare and other payers in all states. You get prompt, efficient processing and quick reimbursement. MDoffice integrates electronic claims with full featured billing—no paper involved.

You give MDoffice a simple command and it compiles patient, provider, diagnostic data from your records and puts them into submission format. The software checks each claim for required information and validated protocols before submission.

Electronic claims work in essentially the same way as paper forms, but instead of hitting the “print” key, you hit the “transmit” key. MDoffice keeps complete audit logs on each claim. All you need is a modem and a phone line. If you wish, you can transmit claims after business, unattended, and you can quickly check the status of a claim and whether or not it has been approved.

Faster insurance payments

Waiting for minutes instead of weeks to learn of a rejected claim makes a big difference in your cash flow. Filing claims electronically eliminates rejections based on incorrect information or because something was printed in the wrong HCFA box. You’ll ordinarily get a confirmation of receipt minutes after you sent it.

Electronically created claims are less likely to be rejected than paper claims; envelopes, postage, paper, HCFA 1500 forms, printer cartridges, time and labor all cost money.

You can post payments from any payer who offers electronic remittances, virtually eliminating the time required to detail payment information and allowing your staff to focus on collections and other work. Remittance information is posted directly to the procedures performed, the amount paid, the deductible applied, and adjustments or write-offs required by provider contracts.

What you get with electronic claims

  • Full-featured billing and submission system.
  • Reduced administrative overhead expense.
  • Quick payment turnover.
  • Elimination of critical errors that can cause claim processing delays.
  • Significant reduction of paper claim submissions.
  • Reduction of mailing expenses.
  • Claims sorted, selected and submitted by patient, provider, bill status, insurance plan, intermediary format and date range.
  • Electronic claim over-ride feature for paper claim submission if preferred.
  • Automatic cross-references for procedure and insurance plans to ensure only authorized procedures are submitted electronically.
  • Built-in electronic filing to vendors that includes: Medicare, Blue Cross/Blue Shield, Medicaid, NEIC.
  • Claims checked before submission for missing or incorrect information.
  • Submissions comply with all health care financing administration regulations.
  • Audit trails and reports ensure that claims have been processed properly.
  • On-line verification of patient and benefits eligibility.
  • No hassles, headaches, or waiting.