Insurance Claims Center:

Charge Review

To review charges that have been posted prior to submitting the claim to the insurance carrier, and if there are any mistakes the biller can fix them here as well.

Insurance Claims Inspector

This screen scrubs your claims prior to being released by Ingenix. For example if you are billing Medicare and the Subscriber ID field is missing the alpha prefix 654371234A it will notify the user to fix this prior to billing the claim. Also, suggest what typically billing procedure codes and modifiers used with or against current charge.

Unbilled Insurance Charges

During the electronic claims submission, the medical billing software has a second chance when working with that live data to catch any additional errors that might prevent your claim from being denied. No more lost claims. No searching for claims that have not been billed. A biller's life saver.

Excluded Insurance Claims

When claims are submitted to the medical billing software's clearinghouse, within 24-48 hours, if there are any claims that the clearinghouse kicks back as denied, these patients will appear in the Exclusions tab. The exclusion will include the denial reason and easy buttons to give the user access to the correct screen to fix the issue. Once fixed the exclusion is removed from this list and the claim can be resubmitted.

Insurance Claim Run Alerts

The medical biling software will notify the office by days or by a percentage of your choice if you have not received the following: Unpaid Claim Run, Unpaid Carrier, % excluded claims from clearinghouse and % claims dropped to paper.

EDI Reports

Within 24-48 hours of submitting claims McKesson will send a report link in this screen of all claims submitted, including any exclusions and those forwarded on to the insurance carrier (5-6 days).

Reports from the clearinghouse, and insurance carriers sent back electronically, are reviewable and archived here. With Electronic Remittance Advice, those EOB's will be stored forever here. Need to print a 2nd EOB, or to verify claims were submitted in a timely matter? Go to your archived report and print out what you need.