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Automatic Rebill for Claims |
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Aging View in Transaction Entry |
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UB-04 Paper and Print Image |
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Custom Dates on ERA Posting |
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Remittance Tracking for Secondary Claims |
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Revenue Management (integrated electronic claims solution that improves claim, eligibility and remittance processing)
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Customizable and Flexible Grid Entries for Insurance Carriers, Providers, Your Practice and Your Data Requirements (improves claim generation)
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Eligibility Data Entry and Processing Logic (gives greater control and the ability to manage payor IDs)
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Ability to Define When the System Checks for Eligibility Updates (enhanced system performance)
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Enhanced Search Filters in Payor ID Lookup Window (includes ability to add, edit and delete a record)
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Changes Made to Comply with the ANSI X12 Version 5010 Standards for the Transmission of Specific healthcare Transactions(see Release Notes for Complete Details)
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-New Windows or Tabs; EDI Note Tab on Edit Claim Window; EDI Notes List Window; EDI Note Window
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-Several Fields Moved and Windows Restructured to Accommodate Moved Fields
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-Several New Fields Added Throughout Medisoft
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-Option for UB-04 Condition Codes Moved to Main Lists Menu
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-Several Additional Options Added and Other Changes Made
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Revenue Management electronic remittance advice (ERA) processing updates to comply with ANSI-5010
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-Updates to the RelayHealth Implementation Guide (IG)
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- New Remittance Delivery Method (RDM) Elements Added to Loop 1000B
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-New Coverage Expiration Date (DTM) element added to explain that coverage was denied becuase the patient's coverage has expired
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-New Claim Received Date Elements (DTM) added in Loop 2100 so that they are recognized if they are received
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-Updates Made to the Claim Preview Report and Claim Details Report
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Revenue Management Enhancements (to reduce the number of clicks to perform certain tasks, and simplify the setup and configuration process)
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Insurance Groupings for Reporting and Analysis
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Security Assignments Same for Insurance and Eligibility (streamlines eligibility security and access) |
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