Electronic Capabilities
Electronic Claims Processing and Reconciliation.
With Electronic Claims Submission, you can cut reimbursement time for most major carriers in half through computer to computer transactions. With the use of a modem, claims are instantly transferred to the carrier’s computer system and processing can begin immediately. It’s that easy!
The Rexpert System makes electronic claims submission a breeze by providing recording, updating and reporting capabilities, based on the transactions that occur between your practice and insurance carriers.
Many carriers also offer electronic payment reconciliation. Detail audits are available to verify that payments have been posted properly. You will continue to receive your hard copy of the Explanation Of Benefits (EOB) and check as usual. Due to the electronic payment reconciliation, manual posting taking an hour can now be done in 10 minutes allowing staff to concentrate on other priorities.
Direct Claims Submission via National Standard Format
- Medicare
- Blue Shield
- Most Regional Carriers
- Medicaid
- AmeriHealth/Champus/MetLife
- Keystone Health Plans
- The Prudential Insurance Company
- The Traveler’s Insurance Company
- U.S. Healthcare
Claims Clearinghouse
- Approximately 400 NEIC Carriers
- Other National/Regional Clearing House Interfaces
Direct Payment Reconciliation
- Medicare
- Blue Shield
CareConnect Affiliates
- Blue Shield
- Medicare Services
- Keystone Health Plans
- AmeriHealth
- Community Choice
Capabilities
- Claims Status Inquiry
- Electronic Submission of Payment Review Requests
- Eligibility
- Referral
Automated Personal Statement Generation
The RexStatements data link allows the utilization of offsite automated mailing companies. These organizations can receive information regarding personal statements electroniclly then print and mail these statements in an extremely cost effective and time saving manner. Patient information can be electronically linked to hospital registration through the utilization of the Expert logic incorporated in the Rexpert System.
Interface with Existing Systems (Hospitals, Laboratories, other Applications)
The Relational Database and Expert Logic of the Rexpert System allows for practically seamless system intgration and effective bridge builiding to other applications and systems, both new and existing.