E-PROCESSING

 


ELECTRONICS:

Have you ever filed your taxes electronically? Once the form is filled out and transmitted there is a record that shows it has been received. No mail time. No wondering if it was lost in the mail. But the best part is once received it will be processed the same day which means you will receive your refund weeks or even months earlier.

What is it?

Electronic claim processing uses the same philosophy. When we transmit the claim to the Insurance carriers they will receive the claim immediately via the Internet in exactly the same format that they require. It is in the file that was designed by them. You see we are playing by their rules. And with electronics, there are no unnecessary human errors. Every form is filled out completely or it will not pass our electronic editors.

With paper claim filing it requires the insurance industry to hire thousands of people to handle this mountain of claims. Stacks and stacks, thousands upon thousands of claims that need to be inputted into the computer and checked for accuracy. Electronic claim filing saves the insurance industry millions of dollars every year in labor costs alone. With modern technology it saves both time and money. The American Medical Association did a study and found that that the average paper claim cost the doctors at least $5 just to process the claim. We charge under 50¢.

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How does it work?

It is very simple. All the clients, doctors, medical clinics, hospitals or anyone who files claims needs is access to the Internet and a keyboard. They key into their existing medical software and process the claims as normal. But instead of printing the claims, they e-mail the claims to us. That is it. There is no additional software or hardware required. Our electronic editors send the claims through to the designated carriers and report back if there are any errors. With 13 different reports the client knows the status of all claims daily.

In the past, doctors spent valuable time and money trying to trace paper claims. Many office managers spent hours on the telephone not to mention money for stamps trying to find out what happened to their money. What they found was that 40% of paper claims paid in 45 days. Another 10% paid in 60 days the other 50% did not pay at all due to claim errors. So you can see the electronics processing through NHS solved headaches for doctors as well as their billing teams. Timing could not be better for our company.

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What can it do for the client?

• One of the most important benefits is to get money faster. Instead of having to wait 45 days to get paid the doctors receive their money BLUE CROSS/BLUE SHIELD 3-5 days, other COMMERCIAL carriers 7-14 days and GOVERNMENT within 14 days.

• Another huge benefit is being able to know what the status is at all times with submitted claims. The reports verify the number of claims and the dollar amount the doctors can expect. Our reports are very user friendly. With our 13 different reports we keep our clients very informed.

• There are no additional software or hardware costs associated with our services. We work with the existing software that they are already using.

• Our fees for service are less than what they are already paying. We will save them money.

Electronic billing will be mandatory within a very short time period. What you see in the marketplace is a mix of use. Practices are using some form of electronic transmissions, some 80% of offices do some electronics. 20% do all electronic. Doctors don't know that most insurance companies accept and prefer electronic transmissions. Practices already electronic should switch to NHS because of our Customer Service. We offer unsurpassed personal attention. For practices that already are all electronic should switch to NHS because it will be economic. We do not charge a per Doctors fee nor do we charge a monthly maintenance fee. So switching to NHS the client will pay less. We also make it mandatory we register your doctor so there are no errors.

To recap...

• We save you money.
• We get you your money. Faster.
• You know if there are claims to be redone.
• We are compatible with your current software
• We are HIPAA compliant
• If you are a billing service, you can market to potential clients telling them you are fully electronic with all the benefits that it implies.
• All of our associates are better looking than any other clearinghouse.

And that is why YOU should use NHS.

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