info@simplexmed.com   +1 866-439-3165, +1 713-457-4600
Elec/Paper Claim Submission

According to a recent study by America’s Health Insurance Plans (AHIP) indicating electronic submission of 75% (three quarters) of health insurance claims. This helps practices and providers to process health insurance claims to process within a month of receipt. This not only speeds up the claim submission process, but hastens the AR cycle to the convenience of healthcare provider. In fact, it’s now a requirement by government payers like Medicare and Medicaid to file health insurance claims electronically.

In today’s age of getting insurance claims paid the use of automated technology is very crucial. Tools like electronic medical records (EMR), electronic funds transfer (EFT) electronic remittance advice (ERA), real-time adjudication, claim scrubbing services, coding software products and other technology tools are becoming increasingly necessary. But neither all practices or physicians have enough finances to invest in these costly technologies, nor physicians have a considerable amount of time to deal with such complex processes. Making outsourcing of the claims process an attractive alternative.

On the other hand, experienced medical billers can successfully operate technologies available to them to get claims paid and to reduce claim denials. With the everyday changing insurance policies, it’s getting harder to collect insurance payments therefore, providers have a great incentive to utilize outsourced billing solutions.

Simplexmed strives to make convenient system available to all providers making the process of claim submission easier and fast. Electronic Data Interchange (EDI) solutions by Simplexmed practice management and medical billing services   are simplifying claim submission of many providers.

EDI services of Simplexmed help your practice avoid the increasingly tiresome paperwork and filing of lengthy forms manually, Speed up your payments, receive payments faster, improve your cash flow, and eliminate the costs of printing and mailing claim forms. Just a click or keystroke and your claims are submitted. Making it possible for providers to concentrate more on their patients – the heart of your practice.

Direct benefits

  • Quicker claims submission,
  • Faster payments
  • Improve claims accuracy – reduce
  • Transcription errors and missing data
  • No printing and mailing costs
  • Spend less time resubmitting corrected claims
  • Reduce paperwork
  • 24/7 access to claims tracking

You can also submit paper claims manually, as the need arises.  Simplexmed recommends that if you are having internet connectivity problems, then instead of delaying submit paper claims.

electonic paper claim submision
Revenue Optimizer (RO)

Revenue Optimizer (RO)

We will optimize your revenue through practice web-portal development and online marketing, payout analysis.

Claim Preparation

Claim Preparation

Error-free claim preparation and validation based on information provided by the practice

Elec/Paper Claim Submission

Elec/Paper Claim Submission

Claims can be submitted either electronically or via paper mail where required

credentialing services

Credentialing Services

When you need essential credentialing data, and you need it immediately, Simplexmed is here to help you

Elec Data Interchange (EDI)

Elec Data Interchange (EDI)

End-to-end encrypted data transfer between payers and providers along with electronic fund transfer (EFT)

Patient Service

Patient Services

Patient calls, itemized electronic and paper statements, and toll-free patient helpdesk

Reporting

Reporting

Get all the relevant reports when you need them. Easy access to all reports with a single click

Coding Services

Provide services in implementation of ICD-10 & CPT codes, help in diagnosis and procedures

Payment Posting

Payment Posting

Faster and accurate claim submission results in timely payment posting to the providers

A/R Management

A/R Management

Timely follow-up with the payers to assure timely payments to the provider

Denial Management

Denial Management

Minimal denials with active web based charge entry system

Meaningful Use

Meaningful use: is using (MU certified) electronic health record (EHR) technology