Insurance Receivables

Financial efficiency with MediSYS means your practice can collect more, faster. Our Electronic Insurance Processing and Tracking spans the state of Alabama and covers regions around us.

• Direct Electronic Claims to Blue Cross, Medicare, Medicaid & Managed Health Care Administration, Inc. (MHCA)
• Direct Electronic Remittance posting of payments, adjustments & deductibles for Blue Cross, Medicare, Medicaid and Managed Health Care Administration, Inc. (MHCA)
• Electronic Remittance posting of commercial carriers as available
• Clearinghouse Options including Navicure, Inc. Best in KLAS, Clearinghouse 2008
• Real-time access within MediSYS to Emdeon Vision Suite for claims status and tracking
• Client-defined Rules-Based Remittance Processing by claim adjustment reason code for few exceptions
• Pre-transmission claim “field checks” to reduce rejections
• Optional Alpha II Claim Scrubbing
• Electronic Audit Trails as available
• Electronic Eligibility & Benefits for day’s appointments
• Eligibility & Benefits Verification Date-Stamp and Save in Patient Account
• Electronic eligibility & benefits for BCBS, Medicare, Medicaid and participating commercial carriers
• Automatic creation of claims to supplemental carriers or rollover to patient is automatic
• Electronic Claim Status carriers as available.
• Electronic Secondary Claims
• Commercial electronic claims with web access to Emdeon Claim Management: claim status, etc.
• PQRI Ready
• Easy claim re-filing by patient, insurance carrier, aging, etc
• Create insurance forms even if you are not accepting assignment
• Provides for timely follow-up on unpaid insurance claims
• Workers’ Compensation balances separated from patient and other insurance
• Workers’ Compensation claims produced on HCFA 1500 & financial statements
• Rural Health
• ICD-10 GEMs Mapping Tool
• 5010 HIPAA Format Development

To accelerate your cash flow and improve the speed and accuracy of billing, contact us today.