MICROSYSTEMS PLUS E-CLAIMS

The Microsystems Plus E-claims package is designed with the years of experience in sending claims to THIN. We carefully considered how we could make things easier for the user and what tools we could put in the hands of the biller  to make life simpler and designed it accordingly.

The system consists of  four active buttons, a configuration button to setup and configure the software, a process button to validate/send and receive claims and email/receive email, a read current mail button, and a tracking log to track batches and responses.

PROCESS

                  The system examines what is available and validates newly generated claims, sends prepared claims, or simply collects responses from THIN. It lets the user know what it has found and asks if the action it is ready to perform is what the user wants to do. The user could proceed with the action or stop it. If there are new files from Lytec, it will validate the claims and report on them, in an easy to follow report, once printed it proceeds to send to THIN the claims and then collect any responses.

READ RESPONSES

                The system stores the latest responses here and the user can examine, print and delete them, once deleted they are attached to the tracking log.

TRACKING LOG

                  The tracking log has all the sent batches in it and attached to them all the responses that correspond to those batches. From a batch number in the list the user can look at the claims and see the patient names and dollar amounts under that batch. The user can also resend a batch from the tracking log, or can view and print responses attached to a batch.

 The program is very simple, it has been tested extensively and debugged, we beta tested it in a doctors office for three months, that office was seeing payments in 9 – 12 days and was able to send all insurances. Adjustments were made to enhance the system from that feedback. The system as of this document has been installed in over sixty offices and is serving close to a hundred physicians in those offices, there are no issues with the system.