Electronic Medical Claims Processing will convert paper to EDI

Electronic Medical Claims Processing

One of the most complicated and time consuming processes for today’s health care providers is HCFA and UB92 forms processing. There are two solutions to consider. You can purchase, maintain and operate your own imaging system to process your paper claims, or you can outsource the entire process.  If staffing issues are a concern to you, outsourcing is your best option. 

Advantages of Electronic Medical Claims Processing

Paper based claims to EDI conversion provides many benefits:

• Reduced staff
• Faster payments
• Elimination of paper HCFA and UB92 forms
• Instant search and retrieval capabilities.
• Full days receipts are processed every 24 hours
• ANSI EDI 837 format which mimics electronic claims submitted through a clearing house.
• Reduced costs
• Never a lost claim.

In order to process your own paper claims you will need to make a substantial investment in an Electronic Medical Claims Processing software package. This package must include a scanner, forms processing software, search and retrieval software, integration, training, and support. You will also need a dedicated individual to implement and operate the system on a day to day basis.

This investment will allow you to reap big savings on your labor costs, while significantly increasing the speed at which you process paper claims. An average savings of 20 to 30 percent on claims processing is common. Your claims submitters will be very happy because their claims will be getting processed much faster than before.

If you are considering sending out your paper claims for processing, we are the company for the job. Outsourcing the processing of paper claims can reduce your paper processing costs by 40 to 60 percent.

Whether you would like to process your own claims or send them out, an Electronic Medical Claims Processing process as laid out here, should be followed. If you would like to see an example of how a HCFA Form is processed, check out our HCFA Form Sample. To see an example of a processed UB92 form, please check out our UB92 Form Sample.

Our medical claims processing services are redundant and comprehensive.  We account for every claim received and always complete the job quickly.  Every claim an HMO receives must be answered in 30 days, which is why we process a full days receipts every 24 hours.  Our process has been carefully crafted over the last three years to ensure every claim that passes through our hands is given the best possible chance to auto adjudicate with no errors.

For more information, click here to see our sample claim processing procedure.