Medical Claim Submission Submitter Types
This practice management software is integrated with RelayHealth a medical eligbiility, claim and statement clearinghouse. RelayHealth assigns each medical database a specific number which is called a submitter number. This number tells RelayHealth which client is sending them electronic claims, electronic statements, electronic collection letters and patient eligibility. It also allows RelayHealth to submit the Electronic Data Interchange (EDI) reports back to the PM software system.
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For offices that choose to use another electronic claims clearinghouse, or have needs to upload claims to other proprietary software products like SCIPAA you can setup a PIF (print image format), or NSF 3.01 file to have claims drop to your desktop and upload other software.
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Sampling of RelayHealths EDI reports are 270/271 patient eligbility, 275 documentation or medical attachments, 276/277 claim status inquiry and response, 278 Prior Authorization, 820 Remittance advice for Managed Care Org, 834 Medicaid Enrollment for Managed Care Org, 835 Remittance Advice (EDI), 837P Professional Medical Claims (CMS-1500 or HCFA 1500), 837I Institutional Medical Claim (UB04 or UB92 formats), 837D Dental Medical Claims and 997 Acknowledgement of claim status.
If you are interested in learning more about setting up Medical Claim Submission Submitter Types please visit our FREE Medical training video series.
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