Commercial Insurance

Features & Benefits

• Direct claims submission to Blue Cross, Blue Shield, Champus, Emdeon, and many others
  
  
• System edits maintained for various commercial payers
  
  
• Custom edits can be defined and applied for your contractual or specialized needs for select commercial payers
  
  
• Customized processing for IPA or medical groups
  
  
• Custom edits can be programmed to identify attachments or medical record requirements made by specific payers
  
  
• Custom edits can be programmed to identify Stop Loss amounts for specific payers
  
  
• Ability to combine multiple claims into one claim
  
  
• Ability to split detail lines from one claim into multiple claims
  
  
• Special processing for secondary (non-primary) claims
  
  
• User comment field for internal use by billing department

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