Billing & Claims Transmission (Clearinghouse or Direct)

Bringing the power of automation and the Internet to the billing process, SSI's Billing & Claims Transmission software streamlines the mechanism for electronic claims submission at every turn. Claim translation, database maintenance and reporting are fully automated. Personnel are granted appropriate access for their assigned duties only. Claims may be parsed based on preset criteria. Reporting, table maintenance, security, claim editing and automation of tasks are all set up by an administrator for convenience, ease-of-use and speed. Even three levels of edits are offered, these include: system/generic, payer-specific and provider-specific.

Additionally, you have the option of transmitting claims via SSI's nationally recognized Clearinghouse, or you may choose to transmit Direct from your facility. Each method affords definite advantages, while both far outshine the more traditional paper-based submission mode. Going the per transaction-based Clearinghouse route frees up IT and billing staff time, as well as providing advocacy in payer disputes. It also boasts complete monitoring of the transmission process, 24/7 accessibility and daily confirmation reports. Not to mention fully HIPAA compliant transaction processing. On the other hand, Direct submission also frees up IT staff time and provides a data repository for all transactions processed. But, perhaps the most advantageous aspect of Direct is the widely recognized savings in A/R days and the elimination of transaction fees.

Smaller healthcare enterprises may realize greater cost efficiency with our ASP based Net Billing product, versus ClickON Billing & Claims Transmission. Click here to learn more.