As an integral part of PHIMS (Public Health Information ManagementSystem), Billing automates Public Health Department billing relatedprocesses by electronically submitting claims to payment sources such asMedi-Cal, Family PACT, CHDP, Blue Cross and other insurers.
Claims with National Provider Identifiers (NPI) are submitted and trackedusing the professional or institutional versions of the industry standardHIPAA ASC X12 messaging protocol including the following messagetypes:
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ASC X12 837 – Electronic Claim
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ASC X12 835 - Remittance Advice
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ASC X12 276 – Request Claim Status
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ASC X12 277 – Claim Status Notification
A default set of industry standard diagnosis codes (e.g. ICD 9) andassociated procedure codes (e.g. CPT) is included and automaticallyassigned to services provided by public health laboratories and clinics,resulting in error and claim processing time reduction and increasedreimbursement rates. This set of codes can easily be modified bycustomers.
Extensive reports that include claims submission history and remittancestatus are available for management and accounting purposes.
The billing application is fully web based, flexible, quick to deploy, andeasy to use. Available in a hosted environment or deployed on yourservers, it provides a rapid ROI and results in improved cash flow foryour organization.