Check Patient Eligibility online only $.50 cents per check!
Web based Patient & Insurance Eligibility. Before you bill you need to check patient coverage....
Bill claims electronically over 1000 plans, only $.65 cents / claim!
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SimpleClaims for professional claims easy to use billing system. Simpleclaims stores patient data, procedure codes, diagnosis codes and more! Bill Medicare, Medicaids, BlueCross and thousands of commercial plans for only $.65 (cents) per claim! Web Based, so you enter claims from any internet enabled computer.
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Realtime Patient Eligibility
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Check Patient Insurance and Eligibility only $.50 (cents) per check! |
Free Office data management Free!
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Free Patient Records system! Not ready to start billing? Use our databases and claim entry to keep your patient data and notes. No Charge! Free (yes Free) use of the Simpleclaims online claim entry system. Get patient data from any internet enabled phone or computer. |
| Healthcare Provider Taxonomy Codes (HPTC) April 2010 Update |
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Healthcare Provider Taxonomy Codes (HPTC) April 2010 Update HIPAA requires that covered entities comply with the requirements in the electronic transaction format implementation guides adopted as national standards. The X12 837 Professional Implementation Guide used for durable medical equipment (DME) claims requires the use of valid codes contained in the HPTC set when there is a need to report provider type or physician, practitioner, or supplier specialty for a claim. The HPTC set is maintained by the National Uniform Claim Committee (NUCC) for standardized classification of health care providers. The NUCC updates the code set twice a year with changes effective April 1 and October 1. Valid HPTCs are those codes approved by the NUCC for current use. Terminated codes are not approved for use after a specific date and newly approved codes are not approved for use prior to the effective date of the code set update in which each new code first appears. Although the NUCC generally posts their updates on the WPC Web page 3 months prior to the effective date, changes are not effective until April 1 or October 1 as indicated in each update. Specialty and/or provider type codes issued by any entity other than the NUCC are not valid and Medicare would be guilty of non-compliance with HIPAA if Medicare contractors accepted claims that contain invalid HPTCs. The taxonomy code is not required for processing Medicare claims. However, if a taxonomy code is submitted, it must be valid according to the HPTC code set. The HPTC code set is named in the 837 professional implementation guide, thus CEDI must validate the inbound taxonomy codes against this HPTC maintained code source. The HPTC list is available from the Washington Publishing Company (WPC). To view the April 2010 changes, visit the WPC Web site at: http://www.wpc-edi.com/codes/taxonomy, then select "New Codes" for a listing of new HPTCs or "Modifications" for a listing of modified HPTCs. Please contact the CEDI Help Desk at 866-311-9184 or by e-mail at This e-mail address is being protected from spambots. You need JavaScript enabled to view it if you have questions. Thank you, National Government Services, Inc. Corporate Communications If you want to update your profile or unsubscribe from any of our lists, you will first need to set up a password for your account. To do this, click on the Login link from the Listserv page on the www.NGSMedicare.com Web site, then select one of the following: |
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