Connect with payers for electronic eligibility, claims and remittances.
Claim.MD manages and documents all of a provider's electronic transactions with commercial and governmental payers.
You can upload claim files from any medical billing system that produces a claim file (ANSI, NSF or Print Image).
Providers in Texas and New Mexico have no per-claim charge for governmental plans.
Nominal charges apply for governmental claims in states where we do not have direct connections.
Click here for a list of free Medicare, Medicaid and Blue connections available through Claim.MD
Providers in all states can submit unlimited free commercial claims to any payer on the industry's
largest payer network. Click here for a list of commercial payers on our network.
NOW AVAILABLE - WORKERS COMP! With your monthly account Claim.MD now offers free unlimited Workers Comp electronic claims.
Providers in Texas and other states have access to a large network of Workers Comp payers.
Claim.MD's interactive claim form makes it simple to attach prescanned documents, or scan new documentation directly into electronic Workers Comp claims.
For a list of Workers Comp carriers on our network, click here.
Manage Claims with confidence using Claim.MD.
When you upload a claim file to Claim.MD, you know instantly which claims fail our initial payer specific edits. If a payer rejects a claim that is transmitted through Claim.MD, the claim instantly shows up in Manage Claims for further corrections. Never again will you miss a rejected claim because you overlooked it in a long cluttered report.
If we don't receive an expected payer response in a timely manner, we give you an alert so you can check status on those claims. When re-billing is required, one click does that for a single claim or an entire group of claims.
Click here for a sample of Claim.MD's Manage Claims list.
Follow-up is time consuming and costly, but spotting issues before they impact cash flow is key to effective electronic billing.
Claim.MD's new visual interface shows potential problems at a glance, with one click access to relevant detail so you can make the most of your investment in follow-up time.
Track claims from submission to remittance, with detailed claim history to prove timely filing.
Regain confidence in your claims with Strip Search™ which shows all vital claim level statistics with a single click (e.g. proof of timely filing and payer responses). You get the data you need, when you need it -- no more, no less.
All claim documents, from eligibility to remittance, are searchable in a concise and easy-to-read Claim History. Field level narratives record all changes made to the claim, and the History includes all electronic payer responses as well.
Remittances can be downloaded for posting into your practice management system. Remittances are searchable by payer, check date and dollar amount. Individual remittances are searchable at the claim level.
Claim.MD gives you control of your claims throughout the entire lifecycle of the transaction. Click here to see a sample Strip Search™ and Claim History.
Fix rejected claims real-time to speed cash flow and eliminate delays.
Claim.MD's Visual Claim Editor™ is totally unique -- an interactive claim form that performs payer-specific edits as you make changes to your claims.
The ability to edit claims online with real-time data validation makes for fast turn-around of claims that would otherwise need to be re-billed from scratch.
Know at a glance when payers are slow to respond to claims.
For claims to payers that send your remittances through Claim.MD, we provide automatic alerts when an expected remittance hasn't posted in a timely manner.
You have one-click access to the claim history when you contact the payer to check status on the claim and track the missing response or remittance.
Notes that you make during the follow-up process are stored in the Claim History for future reference.
See first hand where your billing stands.
A picture is worth a thousand words.
Claim.MD has a revolutionary new visual approach to "traditional" reports -- instead of giving you lists with details and totals,
Claim.MD uses interactive graphs with detail presented in an easy-to-read narrative. Reports include:
- Age of Charges Billed
- Daily Billing Summary (claims uploaded, transmitted, rejected)
- Billed Charges by Payer, Provider, Procedure or Diagnosis
- Patient Geographics by Payer, Procedure or Diagnosis
One click access to personalized expert support.
You may never need it, but when you do you'll be happy you have Claim.MD for support.
Our support interface allows you to request help at the touch of a button.
Click GetHelp™ from any claim to open a support ticket.
Everything about the claim in question is automatically transmitted to our support team,
so we have instant access to the complete Claim History when we begin researching your issue.
You receive email notices when we have replied to your question, and if you have further questions or more information,
you can keep the dialog going until the payer accepts your claim.
Personalized support has never been so easy or efficient!