OrbitEMR USA has an integrated Billing & Insurance module to automate the Insurance Claim filing, payment posting and managing clinical financial information. Transmission of Insurance Claims to payers/clearing house is possible in just four easy steps. In most cases it requires only four mouse clicks to send claims electronically to the payers.
Conforms to ASC X12 837 Professional EDI standard
Conforms to ASC X12 997 Acknowledgment EDI Standard
Conforms to ASC X12 835 Electronic Remittance Advice to automate Payment Posting
Complies with HIPAA requirements
Support of ICD-9 and CPT-4 codes for billing and insurance
Auto E/M calculation based on encounter entries and consultation time
Supports Procedure Modifiers
Automatically Populated Fees from a CPT-Fees lookup table
Being an integral part of the OrbitEMR USA, billing module automatically fetches data from other modules to prepare bills. This minimizes data entry and, hence, coding error.
Built-in mechanism allows to track missed/delayed payments easily.
Highly visible workflow across the clinic. It can be configured to send automated emails to physicians informing the number of claims filed, claims pending, claims paid, and how many have been rejected. Emails can be configured to be delivered to physician's email, PDAs and cell phones.
Encrypted transmission over Secure Socket Layer (SSL )to protect clinical data
Role based access allows users with appropriate authority to view/edit only those portions of billing related data which they are authorized to.