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Electronic Claims Processing is your one solution for all your health insurance claims.
- Sends all claims to one location saving you time and money.
- Checks claims for missing information, valid procedure and diagnosis codes, and payer-specific edits improving claims acceptance
- Forwards accepted claims to the payer and sends a report to the provider on the status of submitted and rejected claims
Instantly access to eligibility information
It's not just about electronic claims. Electronic Claims Processing with Relay Health gives you the added benefit of eligibility verification. You will have instant access to a patient's health plan status, deductibles, and co-payment information. Eligibility verification reduces the time your staff spends on the phone tracking down this information.
Quickly and easily post payments
Electronic Claims Processing also offers unlimited Electronic Remittance Advice (ERA). The Electronic Claims Processing module downloads the ERA file from the payer. With the optional ERA Module, the payments and adjustments are automatically posted to the correct patients' ledgers. This saves time and eliminates the errors caused by math or keying errors often associated with manual posting.
Why process claims electronically?
- Claim acceptance rises as much as 30%
- Payment time is reduced by up to 50%
- Electronic claim services save money
- Priced below the cost of supplies and labor required to submit paper claims
Per Provider (Option 1):
EDI Bundled Services:
|
$90 per Provider per Month |
|---|---|
| Paper Claims | $0.55 per Paper Transation |
|
EDI Bundled Services Implementation/Setup (One Time Charge) |
$199 per Practice |
Per Provider (Option 2):
| Add only the features you want. | |
|---|---|
| Electronic Claims (unlimited) | $50 per Provider per Month |
| Electronic Remittance (unlimited) | $25 per Provider per Month |
| Eligibility Verification (unlimited) | $25 per Provider per Month |
| Paper Claims | $0.55 per Paper Transation |
|
EDI Bundled Services Implementation/Setup (One Time Charge) |
$199 per Practice |
Per Transaction (Option 3):
| Per Transaction Plan | $30 per Month Minimum Fee |
|---|---|
| Electronic Claims (per claim) | $0.40 per Claim |
| Electronic Remittance | $0.20 per Transaction |
| Paper Claims | $0.55 per Paper Transation |
|
EDI Bundled Services Implementation/Setup (One Time Charge) |
$199 per Practice |