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electronicmedicalclaim


Electronic Medical Claim Billing

     What is Electronic Medical Claim Billing? In order for a doctor or provider of health services to get paid by an insurance company, the insurance claim must be submitted to the insurance carrier. The fastest and most efficient way to accomplish this is by electronic medical claim billing.  Here's more information on different ways of accomplishing electronic medical billing. 

     Electronic billing simply means that instead of the claim being printed out on a claim form, such as a HCFA 1500, it is formatted into a computer program and sent through a modem on your computer or via the internet. The medical claim can reach the insurance company the same day it is submitted instead of waiting for the form to reach the insurance company thru the mail and be opened,sorted, routed, and processed.
 
     Due to HIPAA, the Health Insurance Portability & Accountability Act, claims submitted electronically must be in the ANSI 837 format. Most medical billing software is capable of sending claims electronically. 
  
     Electronic medical billing is usually a much faster and more efficient way to get your claims paid. Claims submitted electronically are paid in as few as 7 days.
    
     Another benefit of electronic medical claims submissions is that electronic reports are issued for all claims sent. If there is any incorrect information on the claim, or if the insurance policy is terminated, or if there is any other reason that the claim cannot be processed, you will be notified within 24 – 48 hours.
    
     By receiving these denials thru the electronic report, it is much quicker to act on these problem claims, making the likelihood of receiving payment (instead of writing them off!) much greater.
 
     Electronic Billing is a positive step towards making a provider's office run smoothly.

More information on clearing houses and Electronic Medical Claim Billing.

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