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In order to get paid from any
insurance company for any medical or social service or DMEs, you need
to submit the required data on a CMS-1500 form (insurance claim form).
Therefore, anyone in the practice of providing these services either
needs to know how to fill out this form or rely upon a billing person
or an outside billing agency who knows how to fill out this form in
order to get paid.
There are 33 boxes on this form and
insurance companies tolerate little when processing these claims to
determine whether to pay or not. Since a submitted claim contributes to
your accounts receivables, (i.e., the value of service you have already
provided and are now waiting for payment), it is in your financial
interest that you keep track of these claims until the balance on each
claim becomes zero. You keep track of it by making sure that the
primary insurance, and secondary insurance, if any, have been paid. You
also collect money from patient for co pay or what is not covered by
the insurance.
VisiClaim has been designed (a) to
help you fill out the CMS-1500 form, (b) send the claims electronically
to the insurance companies, thus saving you paper and postage cost, (c)
keep track of all your claims and (d) give you basic reports. In other
words, it allows you to be on top of your billing very efficiently and
very economically.
When you start VisiClaim software, you
get a list of all your unpaid or outstanding claims. You can sort this
list by claim date, claim number, patient name, insurance company and
the insured's ID. So searching for any claim is very quick.
VisiClaim makes it very easy for you
to fill out this form. VisiClaim's screen appears just like a CMS-1500
form with its pink and white boxes along with the reference number for
each box. You move from one box to another by tabbing or simply by
clicking your mouse in a box which you want to fill out.
If you have repeat clients or
patients, VisiClaim creates a new claim based on that
client’s previous claim with just a click. All previous
claim's data gets carried forward and you may simply enter the new date
of service. With only one piece of data entered, if everything else is
the same, you have created an updated claim!
With HIPAA electronic billing,
Medicare accepts any notes that you may want to send, explaining any
service. VisiClaim will let you enter notes beyond Column (K) for each
line in Box 24 on the CMS-1500 form.
You can print claims or elect
to send them electronically.
VisiClaim also allows you to enter
payments and adjustments and print a patient statement.
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