Advantages

EZClaims can help you:

• Submit timely, accurate, and clean claims.

Coding and reimbursement are becoming more and more complicated. Claims are adjudicated using new systems and technologies that closely scrutinize each claim. Within the next two years virtually every payor will be using similar software applications to review and process claims.

• Deal more effectively with complicated edit and review programs.

Reimbursement continues to be significantly impacted by coding errors, and the problem is compounded by a lack of experienced office personnel.

• Comply with Medicare and commercial payor requirements before the claims is submitted for payment.

Payors are CONSTANTLY changing their data requirements for submission of electronic data. If you have your own electronic package, it will need updating EVERY time a payor makes a change...no matter how small that change is. When you send your claims to EZClaims, we make those changes for you without you being bothered to know the change was ever required.

• Minimize insurance payment delays.

The federal government mandates faster payment for Medicare claims submitted electronically. Currently, electronic claims are paid within 13 days; paper claims take at least 27 days. Electronic Medicaid claims are paid in 30 days as opposed to 60 days or longer for printed claims submitted without errors. Most national insurance carriers, as well as local payors, are committed to faster payment of electronic claims in order to reduce overhead.

• More effectively manage the reimbursement process.

Estimates show that 25-50 percent of the health care dollar is spent on administrative costs and paperwork. It is also estimated that the cost to the provider to generate and complete a HCFA 1500 form is over $14. This cost is multiplied if claims must be resubmitted. EZClaims can help your office make a smooth and efficient transition from paper to electronic claims processing.

• Reduce your A/R.

Since claims are paid faster, your money comes in faster thus reducing your A/R. Since claims are not sent out on paper, they can be sent rapidly and arrive at the insurance company the same day (provided you send your claims before 9:00a.m. on that business day). Most insurances run their claims through an automatic system adjucator avoiding most human contact. The possibility of any claims being lost is greatly reduced since we have full tracking of the claims from the second they arrive to the second they are sent. Electronic reporting from the insurances show your claims and the amount they paid.

Return to Home page