MedGateUSA

Electronic Claims Module

Details

Medisoft electronic claims processing module allows you to submit your medical claims electronically. Only one module license is needed per practice

 
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To get started with RelayHealth Electronic Claims follow these simple steps. Download the applications below, fill in your information by typing in the spaces available, then fax them back to the number found on the application.
  • Instructions
  • EDI Application Part 1
  • EDI Application Part 2
     
    Medisoft Claims Manager
    All Inclusive service that includes front-end Real-Time claims scrubbing, Real-Time claims status for available payers, Unlimited Electronic Claims submission and Reject Management, UnlimitedERA, Eligibility (up to 500 per pro
    view pdf flyer
     
    Medisoft™ Electronic Claims/Encounter Submission
    (Requires Claims Module Purchase) - Flat Fee Pricing. Includes up to 150 paper claims per provider per month ($0.43 per claim thereafter). Also includes Medicare ERA where available. NOTE: For 10+ Provider
     
    Medisoft™ Electronic Claims/Encounter Submission
    (Requires Claims Module Purchase) - Per claim pricing. Offered to Billing Services, Radiology, and Laboratory only. Fee payable for claims submitted to MMBs (non-participating payers)
     
    Electronic Remittance Advice (ERA)
    Medicare (also included in Electronic Claims/Encounter Submission Service)
     
    Electronic Eligibility Verification
    This service enables providers to submit either batch or single real-time requests for patient eligibility status and insurance coverage details. Responses include request validation, patient demographics, member and
     
    *Important Notes regarding the Transaction Solutions Services above:
    A twelve month (12) month Electronic Data Interchange Customer Contract between Per-Se Technologies and the Provider reflecting the applicable MSRP above is required. Billing Services have the option to sign an Electronic Data Interchange Customer Contract at the published flat fee rate or the per claim rates for the Lytec Electronic Claims/Encounter Submission service. However, all participating Billing Services' customers must be billed accordingly on either a flat fee or per claim basis. No combinations are allowed. Per claim rate not applicable to Claims Manager. Radiology and Laboratory shall not be offered the option to contract for flat fee-based services. Except where stated above, only per-claim based services pricing is available to Billing Services, Radiology and Laboratory.