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 |
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. Relay Health
Clearinghouse
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 ManagerGet 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