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Electronic Claims Information

If your state is not on the list below, you can still use Medisoft to transmit your claims electronically thru Medunite (the NDC clearinghouse). The clearinghouse charges per provider; Call 888-691-8058 for current pricing specials

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 Advanced, 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

Type of Claim(s) Accepted

ERA

AK

AEMA

Aetna (submits to BC/BS of ND)

Medicare Part B

Y

AK

WMSC

Premera Blue Cross

Medicare Part B; BCBS; and Commercial

 

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

 

CA

CATA

Transamerica Occidental Life and Casualty

Medicare Part B for Southern California

Y

CA

CABS

National Heritage Insurance Company

Medicare Part B for Northern California

Y

CA

CAMC

MediCal

MediCal

 

CO

NDMB

Blue Cross and Blue Shield of North Dakota

Medicare Part B

Y

CT

TRMB

United Health Care

Medicare Part B

Y

DE

DETBW

Delaware Trailblazers (Windows only)

Medicare Part B

Y

DC

MDTB

Maryland Trailblazers

Medicare Part B

Y

DC

MHIN

Maryland Health Information Network

Medicare Part B

 

FL

FLMB

Blue Cross and Blue Shield of Florida

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

Y

FL

Consultec - Florida Medicaid

Unisys (DOS only)

Florida State Employees Group Health

 

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. (DOS only)

HMSA, Quest, Medicaid

 

IA

INET

Iowa INET

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

Y

IL

ILBB

Blue Cross and Blue Shield of Illinois

Blue Cross and Blue Shield, Medicaid, Champus, Commercial

Y

IL

WPSI

Wisconsin Paperless System

Medicare Part B

 

IN

AIM1

Indiana Administar

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

 

KY

KYMB

Administar Federal of Kentucky

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

 

LA

ARMB

Blue Cross and Blue Shield of Arkansas

Medicare Part B

Y

MD

MHIN

Maryland Health Information Network

Medicare Part B, Blue Cross and Blue Shield, Commercial

 

MD

MDTB

Maryland Trailblazers

Medicare Part B

Y

MI

WPSI

Wisconsin Paperless System

Medicare Part B

Y

MN

TRMB

United Health Care

Medicare Part B

Y

MO

ARMB

Blue Cross and Blue Shield of Arkansas

Medicare Part B

 

MS

TRMB

United Health Care

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

Medicare Part B

Y

NJ

PABS

Pennsylvania Electronic Medicare Service

Medicare Part B, Commercial

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

 

NV

AEMA

Aetna (submits to BC/BS of ND)

Medicare Part B

Y

NY

GHI1

Group Health Incorporated

Commercial

 

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, Commercial

Y

NY

NYMA

NY Medicaid

Medicaid

OH

OHMB

Nationwide Mutual Insurance

Medicare Part B

Y

OH

AIMI

Indiana Administar

BCBS and Commercial

 

OK

AEMA

Aetna (submits to BC/BS of AR)

Medicare Part B

 

OK

ARMB

Blue Cross and Blue Shield of Arkansas

Medicare Part B

Y

OK

AEMA

Aetna (submits to BCBS of ND)

Medicare Part B

 

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, Commercial

Y

SD

NDMB

Blue Cross and Blue Shield of North Dakota

Medicare Part B

Y

TX

TXBB

Texas Health Information Network

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

Y

VA

TRMB

United Healthcare

Medicare Part B

Y

VT

NHIC

National Heritage Insurance Co

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, NEIC for Western Washington

 

WA

WAMSC

Washington Medical Services Corp

Medicare Part B, Blue Cross and Blue Shield, Commercial for Eastern Washington

 

WI

WPSI

Wisconsin Paperless System

Medicare Part B

Y

WV

OHMB

Nationwide Mutual Insurance

Medicare Part B

Y

WV

FLMC

Consultec

Medicaid

 

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.

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

Get in Touch With Us


Computerized Business Systems

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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