Saturday 22 November 2014

Electronic Claims Submission - introduction and benefits - can we use free software?



Introduction

Submitting Medicaid claims via electronic media offers the advantage of speed and accuracy in processing. Providers may submit electronic claims themselves or choose a billing agent that offers electronic claim submission services. Billing agents must enroll as Medicaid providers.

Benefits

 The benefits of electronic claims submission include:
·  Increase speed of claims payments, seven days in some cases.
·  Correct data entry errors immediately, avoiding mailing time and costs.
·  Eliminate the cost and inconvenience of claims paperwork.
·  Reduce office space required for storing claim forms, envelopes, etc.
·  Decrease mailing costs.
·  Decrease clerical labor costs.
·  Automate the office for a more efficient operation.


Free Software 

The Medicaid fiscal agent has PC-based software, called WINASAP 2003, which enables providers to submit claims electronically on IBM compatible personal computers (PC) in their offices.

Providers can transmit the claims via telephone lines directly to the Medicaid fiscal agent.

The WINASAP2003 software, user manual and technical support is available free of charge to Florida Medicaid providers.


How to Participate in Electronic Claims Submission

The fiscal agent’s field representatives will assist providers with installing WINASAP2003 software as well as assist with initial testing and instructions for ongoing claims submission. To schedule an appointment with a field representative or for any non-software questions, call Provider Inquiry at 800-289-7799.

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