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Billing
Billing is an automated process that does not require user intervention. The application automatically produces client invoices customized to client requirements, submits unlimited institutional and/or professional files to payers or clearinghouses, and prints patient statements or transmits them electronically to a service for printing or mailing. Extensive rules by payer ensure claim submission meets payer specific requirements, reducing denials and the costs to reprocess claims.
Remittance is customized to the payment origination promoting efficiency for adjudication of client invoices vs. patient guarantor payments vs. payer remittance. Payer remittance is further streamlined with electronic processing of standard ASC x835 payer remittance files. Workflow is optimized by allowing the billing office to easily change payment responsibility, re-price and automatically create appropriate reversals in a simple one-step operation. Patient online bill pay makes payment for services easy and reduces DSO.
Features and Benefits include:
- Designed specifically for challenges of laboratory biling, pathology billing and molecular testing billing.
- Workflow friendly, exception-based, everything to manage a payer, account or client is a click away
- Patient centric so complete patient billing history maintained
- Client satisfaction is improved with online review and editing of invoices prior to distribution by e-mail, fax or mail
- Eliminates client complaints with client invoices formatted and presented with data customized to individual client requirements
- Bill process automatic and based upon user schedule
- Payer submissions include electronic ASC x837 files as well as printed UB-04 and CMS 1500 NPI claim formats
- Automatic ASC x835 remittance file retrieval for review and processing
- Automatic processing to secondary payer, guarantor or client based upon rules
- Streamlined workqueue entry and management for payments, refunds, denials and adjustments
- Flexible search and filter to view revenue cycle metrics to better manage business
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