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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.
 

State

Code Carrier Claims Accepted ERA
  NDC ERA Electronic Remittance Notification

ERN - National Standard Format for Direct Claims Modules

ALL NDC ECS NDC Electronic Commerce Services

ALL

AR ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B, Blue Cross and Blue Shield

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

Medicare Part B

AZ APN1 Arizona All Payor Network

Medicare Part B, Blue Cross and Blue Shield, Commercial

CA CAMC Medi-Cal

Medi-Cal

CA NHIC National Heritage Insurance Company

Medicare Part B

CO NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B

CT TRMB First Coast Service Options

Medicare Part B

DC MDTB Maryland Trailblazers

Medicare Part B

DE MDTB Maryland Trailblazers

Medicare Part B

DE DETB Delaware Trailblazers (Windows only)

Medicare Part B

FL FLMC Florida Medicaid

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

FL FLMB Blue Cross and Blue Shield of Florida

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

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

Medicare Part B

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

Medicare Part B

HI HMSA Hawaii Medical Service Assoc.

HMSA, Quest, Medicaid

IA INET Iowa INET

Blue Cross and Blue Shield, Medicaid, Commercial

IA NDMB Blue Cross and Blue Sheild of North Dakota

Medicare Part B

IL ILBB Blue Cross and Blue Shield of Illinois

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

IL WPSI Wisconsin Physicians Service

Medicare Part B

IN AIM1 AdminiStar Federal Inc. Tennessee

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

KY KYMB Administar Federal Inc. Kentucky

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

LA ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B

MA NHIC National Heritage Insurance Company

Medicare Part B

MD MDTB Maryland Trailblazers

Medicare Part B

ME NHIC National Heritage Insurance Company

Medicare Part B

MI WPSI Wisconsin Physicians Service

Medicare Part B

MN TRMB Wisconsin Physicians Services

Medicare Part B

MO ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B for Eastern Missouri

MS TRMB Cahaba GBA

Medicare Part B

ND NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B, Blue Cross and Blue Shield

NH NHIC National Heritage Insurance Company

Medicare Part B

NJ PABS Pennsylvania Electronic Medicare Service

Medicare Part B

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

Medicare Part B

NM ARMB Blue Cross and Blue Shield of Arkansas

Medicare Part B

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

Medicare Part B

NY NYGH Group Health Incorporated

Medicare Part B for Queens

NY NYUM New York Upstate Medicare Division

Medicare Part B for Upstate Area

NY NYEB Empire Blue Cross and Blue Shield

Medicare Part B, Blue Cross and Blue Shield

NY NYMA New York Medicaid

New York Medicaid Primary and Secondary

OH OHMB Nationwide Mutual Insurance

Medicare Part B

OH AIM1 Indiana Administar

Blue Cross and Blue Shield, Commercial

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

Medicare Part B

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

Medicare Part B

PA PABS Pennsylvania Electronic Medicare Service

Medicare Part B, Blue Cross and Blue Shield

SD NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B

TN TNBB Blue Cross and Blue Shield of Tennessee

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

TX TXBB Texas Health Information Network

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

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

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

VA TRMB TrailBlazers

Medicare Part B

VT NHIC National Heritage Insurance Company

Medicare Part B

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

Medicare Part B

WA NDEX Network Data Express

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

WA WMSC Premera Blue Cross

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

WA NWMB Northwest Washington

Medicare Part B, Blue Cross and Blue Shield, Commercial

No 

WI WPSI Wisconsin Physicians Service

Medicare Part B

WV OHMB Nationwide Mutual Insurance

Medicare Part B

WY NDMB Blue Cross and Blue Shield of North Dakota

Medicare Part B, Blue Cross and Blue Shield


Pricing and availability are subject to change.
 

 

 

 

2. Relay Health 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 Relay Health. Call 888-691-8058 for current pricing specials

 

 

Our New Insurance Claim Forms Are Compatible With the NEW CMS 1500 2014 Claim Form

Our free quick start "How to use Medisoft" video training will help you understand how to quickly enter and print the new CMS 1500 2014 claim form info. This new claim form can begin to be used Jan 6, 2014 and is REQUIRED by April 2014. Our program is terrific for medical offices and medical billing services. Our medical practice management software is designed especially for windows. The claims program is easy to use especially in the windows environment. Our insurance billing service software is also affordable and priced well below other programs costing thousands of dollars more. Click here if you are interested in McKesson Practice Choice web based emr software.

What Our
Customers Are Saying

"We gave up an expensive program to use Medisoft. I have no regrets."

-- Jackie Barnes, Office Manager

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23263 Harborview Rd. Port Charlotte, FL 33980

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

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