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How the SimpleClaims process works start to finish! PDF Print E-mail


Thank you for taking the time to look at and evaluate SimpleClaims.   SimpleClaims is a very basic yet functional and some say powerful billing system. 

Once you have decided to place your order for SimpleClaims billing solution the following processes occur.

1.  Order is taken , reviewed for accuracy

2.  Client called to complete information gathering (Company information,  NPI# etc), payment method etc.

3.   Discussion of which plans client wishes to bill initially.

4.   SimpleClaims supplies all EDI application forms (typically required for Government , State Mediciad and BCBS plans).   Forms can often be processed via fax or electronically to expidite.

5.  Simpleclaims web account is setup and access granted to client for web usage.

6.  When client is billing commercial payors they can often start that day to send first batch of claims.  Once edi agreements approved client is notified to begin billing.

7.  The daily billing routines are as follows;

Using the weekdays as examples;

a. Claims are entered and transmitted to Simpleclaims Clearinghouse on a Monday before 5pm est.

b. Client receives a short email confirming that the transmission was received by clearinghouse