Electronic Claims Information

There are two ways to submit your claims electronically:

1. Direct Electronic Claims
Medisoft direct electronic claims module is a productivity and revenue enhancement program. It saves time by allowing you to send literally hundreds of claims electronically at the touch of a button, and decreases the waiting time for receiving payments which translates to a lower overall Accounts Receivable balance. Medisoft Direct Electronic Claim modules require Medisoft Advanced Patient Accounting in order to work. The Direct Electronic Claim module is an "ADD-ON" to Medisoft, and not a replacement or substitute.

ERA - Electronic Remittance Advice, allows you to automatically download and retrieve your Medicare EOB electronically, AND post all Medicare Payments, with the touch of a button. This is a REAL TIME and PRODUCTIVITY saver!!! This is only available if used in conjunction WITH Medisoft Direct Electronic claims module or NDC Clearinghouse. For more Information about ERA, Click Here
 

State

 Code Carrier Claims Accepted ERA
  NDC ERA Electronic Remittance Notification

ERN - National Standard Format for Direct Claims Modules

Y 

ALL NDC ECS NDC Electronic Commerce Services

ALL

Y 

AR ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B, Blue Cross and Blue Shield

Y 

AZ AEMA Aetna (submits to BC/BS of ND)

Medicare Part B

Y 

AZ APN1 Arizona All Payor Network

Medicare Part B, Blue Cross and Blue Shield, Commercial

N 

CA CAMC Medi-Cal

Medi-Cal

N 

CA NHIC National Heritage Insurance Company

Medicare Part B

Y 

CO NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B

Y 

CT TRMB First Coast Service Options

Medicare Part B

Y 

DC MDTB Maryland Trailblazers

Medicare Part B

Y 

DE MDTB Maryland Trailblazers

Medicare Part B

Y 

DE DETB Delaware Trailblazers (Windows only)

Medicare Part B

Y 

FL FLMC Florida Medicaid

FL Medicaid, W.V. Medicaid, W.V. Workers Comp, CO Medicaid

N 

FL FLMB Blue Cross and Blue Shield of Florida

Medicare Part B, Blue Cross and Blue Shield, Health Options, Champus, Commercial

Y 

GA AEMA Aetna (submits to BC/BS of AR)

Medicare Part B

Y 

HI AEMA Aetna (submits to BC/BS of ND)

Medicare Part B

Y 

HI HMSA Hawaii Medical Service Assoc.

HMSA, Quest, Medicaid

N 

IA INET Iowa INET

Blue Cross and Blue Shield, Medicaid, Commercial

N 

IA NDMB Blue Cross and Blue Sheild of North Dakota

Medicare Part B

Y 

IL ILBB Blue Cross and Blue Shield of Illinois

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Champus, Commercial

Y 

IL WPSI Wisconsin Physicians Service

Medicare Part B

Y 

IN AIM1 AdminiStar Federal Inc. Tennessee

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Commercial

Y 

KY KYMB Administar Federal Inc. Kentucky

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Commercial

Y 

LA ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B

Y 

MA NHIC National Heritage Insurance Company

Medicare Part B

Y 

MD MDTB Maryland Trailblazers

Medicare Part B

Y 

ME NHIC National Heritage Insurance Company

Medicare Part B

Y 

MI WPSI Wisconsin Physicians Service

Medicare Part B

Y 

MN TRMB Wisconsin Physicians Services

Medicare Part B

Y 

MO ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B for Eastern Missouri

Y 

MS TRMB Cahaba GBA

Medicare Part B

Y 

ND NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B, Blue Cross and Blue Shield

Y 

NH NHIC National Heritage Insurance Company

Medicare Part B

Y 

NJ PABS Pennsylvania Electronic Medicare Service

Medicare Part B

Y 

NM AEMA Aetna (submits to BC/BS of AR)

Medicare Part B

Y 

NM ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B

Y 

NV AEMA Aetna (submits to BC/BS of ND)

Medicare Part B

Y 

NY NYGH Group Health Incorporated

Medicare Part B for Queens

Y 

NY NYUM New York Upstate Medicare Division

Medicare Part B for Upstate Area

Y 

NY NYEB Empire Blue Cross and Blue Shield

Medicare Part B, Blue Cross and Blue Shield

Y 

NY NYMA New York Medicaid

New York Medicaid Primary and Secondary

N 

OH OHMB Nationwide Mutual Insurance

Medicare Part B

Y 

OH AIM1 Indiana Administar

Blue Cross and Blue Shield, Commercial

Y 

OK AEMA Aetna (submits to BC/BS of AR)

Medicare Part B

Y 

OR AEMA Aetna (submits to BC/BS of ND)

Medicare Part B

Y 

PA PABS Pennsylvania Electronic Medicare Service

Medicare Part B, Blue Cross and Blue Shield

Y 

SD NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B

Y 

TN TNBB Blue Cross and Blue Shield of Tennessee

Medicare Part B, Medicaid, Blue Cross/Blue Shield, Commercial

N 

TX TXBB Texas Health Information Network

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Commercial

Y 

TX GPNT GPNET or REDI-Link Blue (ANSI Format)

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Commercial

N 

VA TRMB TrailBlazers

Medicare Part B

Y 

VT NHIC National Heritage Insurance Company

Medicare Part B

Y 

WA AEMA Aetna (submits to BC/BS of ND)

Medicare Part B

Y 

WA NDEX Network Data Express

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Department of Labor and Industries, Commercial

N 

WA WMSC Premera Blue Cross

Medicare Part B, Blue Cross and Blue Shield, Medicaid, Department of Labor and Industries, Commercial

N 

WA NWMB Northwest Washington

Medicare Part B, Blue Cross and Blue Shield, Commercial

No 

WI WPSI Wisconsin Physicians Service

Medicare Part B

Y 

WV OHMB Nationwide Mutual Insurance

Medicare Part B

Y 

WY NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B, Blue Cross and Blue Shield

Y 


Pricing and availability are subject to change.
 

 

 

 

2. Medavant Clearinghouse
 

If your state or the insurance you submit to is not on the list above, you can still use Medisoft to transmit your claims electronically through Proxymed (the NDC clearinghouse). Call 888-691-8058 for current pricing specials

 

 
 

 

 


 
Computerized Business Systems;
Phone 1-941-743-6666
Toll Free: 1-888-691-8058
Fax: 1-941-743-5868

email us for your medical billing software Email to: info@medicalbillingsoftware.com

support@medicalbillingsoftware.com

Computerized Business Systems
23263 Harborview Blvd.
Port Charlotte, FL 33980

Medisoft is a product of NDC Health.
Computerized Business Systems is an Independent Medisoft Certified Platinum Dealer
and not affiliated with Medisoft in any other way.
All trademarks are the rights of the respective owners.
Copyright 2006
 




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