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Solutions for Untangling the Electronic Claims Process

Electronic Claims Processing makes it easier to issue claims to insurance providers. This speeds up the time it takes for the insurer to receive the bill and issue payments, and helps patients resolve balances quickly. In order to untangle potential issues with the electronic claims process, follow through with some basic housekeeping steps.

Coding and Processing Schedules Are Key

There are payment schedules for different segments within the medical community. The schedule is based off the fiscal year, so it runs form October through September of the following year. By adhering to these schedules, you can avoid potential issues later on.

Proper code inputting is necessary. This prevents incorrect billing while also reducing processing time once sent to the insurance provider.

Medical Billing Software

One of the best ways to avoid the headaches often associated with Electronic Claims Processing is to utilize medical billing software. There are free-standing programs as well as web-based applications. Either way, these streamline the process and cut out most of the problems connected with electric filing. Look for one that can be connected with other billing programs for easy integration.

Format Standard

The industry standard format for electronic claims is ANSI 837P. This format is accepted and read by insurers and medical providers. Using this form will keep everyone on the same page.