Secondary Billing/Accelerated Secondary Billing

Our Secondary Billing software improves the efficiency of secondary and tertiary claim maintenance, while reducing A/R days and labor costs through automation. It updates claims with remittance information and produces secondary and/or tertiary bills along with a one-page Explanation of Benefits (EOB) for both UB92 & 1500 claims becomes effortless. ANSI 835 and proprietary remits are easily uploaded, processed and automatically attached to the original claim. At which point, the Billing Module initiates the process of billing the secondary or tertiary payer and references a set of built-in validation edits for that payer prior to submission. In addition to electronic remittance files, Secondary Billing can also post lock-box files and payment files produced by the HIS.

An enhanced version of the Secondary Billing, Accelerated Secondary Billing goes one step further by posting pending Medicare payments to the appropriate claims, after checking the Medicare Common Working File to determine their status. Receiving payment information directly from the payer via DDE terminal allows the claims to be billed to the secondary or tertiary payer well before the primary payment has actually been received. Of course, this drastically accelerates turnaround on secondary billing and reduces A/R days.