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INTRODUCTION
FreeClaims is a web-based medical claims clearinghouse. FreeClaims receives HCFA-1500
claims electronically from anyone who bills via HCFA-1500 forms. FreeClaims accepts several
different file formats from any type of billing systems. Among them is the print image
format, National Standard Format, WebMD Envoy/NEIC MCDS format, ANSI X12 format or any
other format that may need a custom translation.
THE PROBLEM
Just imagine, at 22 working days a month and 20 patient visits per day, a single healthcare
provider could generate 440 HCFA-1500 claims a month. But they're not just HCFA claim forms,
you must think of them as invoices. Invoices sent from you to the Payor are not paid for a number
different reasons: (i) missing data elements, (ii) incorrect format, or the most frustrating
one of all, (iii) "we never received your claims." If you are currently doing paper claims,
you know the routine of printing, busting, folding, stuffing, stamping and mailing.
It's a paper work nightmare.
THE ELECTRONIC PROCESS
If the Payor accepts claims electronically and if your billing software
is capable, you would send these claims to your software vendor for a certain fees. You could
alternatively send the claims to an outside clearinghouse through a private dial up bulletin board.
Whether you use an outside clearinghouse or your billing software vendor, chances are you'll upload
the file and retrieve reports the next day. Any errors found would need to be corrected from your
billing system and would have to be resubmitted. While this is an acceptable means to correct error
claims, we think there are better ways.
FREEDOM OF CHOICE
FreeClaims can accept
claims from virtually any billing software. Your end of day billing task is now reduced from 30-60
minutes to about 10 minutes. All you'll need to do is produce the claim file from your billing
software, login to FreeClaims and upload your claim file. In less than a minute, you can view the
confirmation report. If there are any errors, you can correct the claims immediately, on-line,
quickly and painlessly. FreeClaims is truly "The Cure for the Common Form".
NO COST CLAIMS PROCESSING
Did we mention that all of this service is free? Yes, free. How could this be?
To understand the "free" part, you must understand how
clearinghouses get its revenues. With the exception of a few, all clearinghouse make money
by selling a service. The service is the delivery of data from point A to point B. Point A
being the submitter or healthcare provider; point B being the receiver or Payor. The data, obviously,
are the claims, with as many as 5 billion claims a year flowing from point A to B. Clearinghouses
receive per transaction revenues from both Point A (Provider) and Point B (Payor).
FreeClaims clearinghouse does exactly the same thing with one exception. We only charge
the parties whom we sends claims to. This means the submitter gets the service for free.
It's that simple. But why? Why free? Without getting into the details, we can say
that FreeClaims was able to do it because FreeClaims is a more efficient clearinghouse
that does things right the first time.
There are Payors who do not pay to receive electronics claims, such as Medicare, Medicaid,
Blue Cross Blue Shield. For those Payors, we will charge $0.15 per claim.
IT'S YOUR TURN
Having read all of this, did you know that you could have FreeClaims process your
claims for free today? That's right. We could process your claims for free in production
today! If your test data file meet our standards, we could map the file and put you in
production the same day. FreeClaims is so easy to use, we can train you in ten minutes
on the phone. But don't take our words for it. Contact us and see for yourself.
FreeClaims, it's truly "The Cure for the Common Form."
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