CMS-1500 Electronic Health Care Claim Software

Electronic Data Interchange (or EDI) is the transfer of information in a standard file format from one computer to another. Our CMS-1500 software can generate the ANSI 837P file format for electronic transmission. You can send that file to a clearinghouse or directly to a payer.

Benefits of Electronic Claim Submission
The use of electronic claims can result in significant financial savings for both physician practices and payers. Electronic claims submission can:

• Eliminate paper filing of Form CMS-1500. Eliminate postage, supplies and mailing expenditures.

• Validate claim files for potential errors before submission to a payer

• When ready, submit claims to a payer

• Reduce the amount of time and resources devoted to filing CMS-1500 forms.

• Expedite a payer’s claims processing turnaround and potential payment time frame

Electronic claims submission offers a straightforward, efficient and cost-effective process for submitting patient claims to a payer. Electronic claims are inexpensive for physician practices to produce, submit, process and track when compared with manual claims.

ANSI 837P File Format
An 837P file format is a notepad file which contains patient claim information from the CMS-1500 paper form. The P stands for professional. You can submit 837P files to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. 837 files are broken down into loops, segments and elements
• Each loop, segment and element contains specific information
• Header – Beginning of the file
• Billing Provider Detail
• Subscriber Detail
• Patient Detail
• Claim Detail
• Ending Trailer - End of the File
The data wraps in one continuous line, making it difficult to pick out the different segments. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim.

Additional Features and Benefits
Our CMS 1500 Software has more features than any other software on the market and is designed to make your CMS 1500 form claim processing as simple, fast and reliable as possible.

• 30-day Full money back guarantee
• Industry leading customer support
• Paper & electronic claim compatibility
• Full year of automatic software updates
• Create unique shortcuts to make claims even faster

Support
You can order the software through our secure online shopping cart any time of the day of the shopping cart will provide a passcode to activate the passcode.

Our sales staff is available by phone from 7am to 5pm MST. Technical support is also available during that time and at nights and weekends. If you have technical support questions, please call (608-444-6575) or email support@medclaimsoftware.com at any time.

Operating System
Our CMS-1500 software functions on any Windows operating system. The software functions on networks or stand-alone personal computers and is compatible with all printers.

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