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Electronic Systems Benefitting the Medical Billing Industry -Avontix

The information technology use has grown in almost all the industries and one of those industries is the healthcare industry. Even in the healthcare industry, most of the jobs are being greatly influenced by the information technology. Medical billing jobs are no exception to this. As the medical billing industry is moving towards a paperless world, more and more fields are using the technology for various purposes. One of them is using electronic payer systems. Many health insurance payers are providing electronic solutions for various insurance related matters like claim submission, reimbursement etc. There are many advantages of using these systems which are increasing their use by insurance companies.

  • Claim submission: Claims can be submitted electronically which facilitates quick submission process and no stock of paper claims. This reduces submission process time and costs to process the paper claims.
  • Claim Status: The electronic solutions also provide solutions for the identification of claim status. Once a claim is submitted, the status of the claim like pending, paid, rejected or denied can be identified. This minimizes the need for making calls to insurance providers thereby reducing the related costs. Also, this helps in instant verification of claims receipt and provides substantial testimony to the claims receipt and status.
  • Corrections in claim appeals and corrections: Along with the submission of claims electronically, these solutions also facilitate the online claim corrections and submissions. This makes the process faster and it also becomes easier to track these submissions. 
  • ERA: An electronic remittance advice (ERA) is an electronic mode of medical insurance payment explanation that provides information about the claims payment and explanation for claims denied if any. This eliminates time wasted in waiting for the explanation of benefits to be mailed to understand the payments. The original electronic remittance advice can be received from the insurance payer’s system which is very helpful for the people in medical billing jobs for the purposes of follow up and appeals.
  • Authorizations get easy: With the electronic systems, obtaining authorization for certain codes becomes easy which is useful for the staff that is responsible for getting authorizations.
  • Communication gets easy: With the electronic systems, some administrative functions related to insurance can also be done online that considerably reduces the time taken in processing claims and payments. It also eases the communication between the healthcare provider and insurance payer that otherwise takes longer time through mails.

Avontix is one of the best medical billing companies in Hyderabad that provides the best support to its clients.


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