PracticeTek

Claims Processing and Payments

Claims processing

Option for single and Batch processing of all paper claims (HCFA-1500, Medicaid -NY).
Electronic claims processing is fully automated. Electronic Claim File creation supported for HCFA and HIPAA 837 formats. EOB - HIPPA 835 download is also available.
Extensive validation and checking has been implemented to ensure that the claims are not rejected at the insurance company.
Print invoices for patient payments.
Create account receivable reports by patient, provider and insurance carrier/type

Claims processing

Import electronic remittance advice for automatic payment entry.
Single screen entry of patient account transaction including payments, write-offs, adjustments, refunds, risk withheld adjustment and patient deduct and secondary carrier billings.
This module is responsible for recording payments and adjustments from insurance companies and patients.
Modifying and Deleting transactions in a claim including backouts.
Option to display the mismatch between Patient Insurance Companies and Claim
Insurance Companies with a provision to change the Claim Insurance Companies.
Displaying Open and Closed Claims separately for a Patient along with Claim details.
Displaying the Status of any Claim along with Claim history with an option to change the status of the claim