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Med-Center HIPAA Compliant 4010A1 Pro Claims - In version 3.2, Med-Center added the ability to create HIPAA Compliant 4010A1 (837 transaction set) Professional Claims.  Customers were able to seamlessly update their database information to support the EDI standards.  This upgrade was free to give all customers the ability to become HIPAA compliant and be able to submit E-Claims to their preferred clearinghouse.

Clearinghouses - With the capability to create HIPAA compliant 4010A1 and Print Image claims, virtually any clearinghouse can accept and process electronic claims created by Med-Center.  And, since we believe selection of a clearinghouse is your choice not ours, we do not specifically endorse a particular clearinghouse to use. 

A few of the clearinghouses that Database Constructs has worked with are listed for your information.  Gateway EDI has proven to work well with both Windows and Macintosh based practices:

Gateway EDI (http://www.gatewayedi.com)

Gateway EDI


EClaims  (http://www.eclaims.com)

EClaims

ZirMed (http://www.zirmed.com)

ZirMed

Getting Started - The outline that follows highlights the steps to get started for submitting e-claims to a Clearinghouse.   The Clearinghouse will help you during this process and provide the necessary forms along with discussing with you their particular agreement and fee structure.
  • Contact the Clearinghouse, view their web site for a description of their services and web submittal process
  • Take a test drive of their services
  • Sign-up with the Clearinghouse
  • Enroll with Payers (single form may be available)
  • Clearinghouse will provide Submitter & Receiver ID's
  • Obtain Payer list and Clearinghouse Payer ID's
  • Enter Payer list, Payer ID's, and other ID's into Med-Center
  • Create test e-claims to send to Clearinghouse (Note: Med-Center has a check box to flag e-claims as "test" during e-claim creation)
  • Wait until all Payer approvals are returned
  • Clearinghouse will give "go-ahead" for production e-claim submittals







 

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