MedClaims Pro® offers a comprehensive practice management and medical billing software package. You can tailor the software to meet your needs. Run reports or “work queues” that are meaningful and accurate with information you can use to make your practice better. MedClaims Pro offers a Turnkey or an ASP solution.

Our products are designed to deliver quality, ease of use, performance, scalability, and effective regulatory compliance. We also recognize there needs to be something special in a product, something unique that makes spending your entire day using the application an enjoyable experience. To that end, we devote significant resources to achieving both innovation and elegance.

Innovation requires a fresh and intelligent approach to every task and process. Elegance requires a balance of refinement and tasteful design. MedClaims Pro®, and our MedClaims Pro MCP®, hosted on demand practice management service, delivers both.

Patient Information Management
Patient data is organized into tabs on the same screen, so you can quickly find what you need without endlessly searching through the system or referencing separate software. Point-and-click navigation moves you easily through the patient's demographic information, insurance, financial history, appointments, uploaded documents, eligibility checks, claim and statement activity history, and much more.

Claim Tracking & Validation
With our Claim Validation Engine, you can inspect your claims for errors
before having them submitted to the clearinghouse. Our validation engine includes hundreds of thousands of edits for CCI, HIPAA, and carrier-specific problems. This is just one more way our practice management system helps speed up payments for electronic claims processing.

With our Exclusive Claim Tracking section you can easily view and manage all of your claims that have been sent to the clearinghouse. Numerous selection criteria allow you to view only rejected claims, view claims rejected with a specific message, and much more. Results can be grouped by Payer, Submit Date, and much more. By right clicking on the claims listed on the report users can open the claim, patient, provider, or payer for editing.

Electronic Remittance Advice (ERA)
With ERA, you receive your remittance advice (EOB) electronically that can be reviewed in the system and automatically post payments and adjustments to each by charge. Automatic posting improves accuracy, reduces data entry costs, and results in rapid patient statement processing. You no longer have to wait for the paper EOB to arrive in the mail.

Users can customize the workflow based on the remittance advice codes received in the ERA file. For example, code "MA18 - Claim Forwarded" can be set to mark the claim "At Secondary Insurance" so that you do not send a claim that was automatically forwarded to the secondary from the primary.

After automatically applying the check users can view the "Unapplied Money" report to see what claims, if any, the system could not apply the full payment. From this report, users can simply bring up the check under EOB Posting and make any necessary changes.

FOR MORE INFORMATION OR SPEAK WITH AN ACCOUNT SPECIALIST,
CALL 866.673.0620 or 615.673.0620

Email: sales@softwrx.com