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AnviCare is an important partner for the PPN in its mission of clinical integration and has its own free web-based electronic claims clearinghouse as well as a Windows based Practice Management Software.


Freeclaims.com Clearinghouse
A New Way to Process Claims

It's a data-intensive task, and for large medical practices, often requires dedicated staff. Hundreds and thousands of insurance claims: all your patient accounts, multiple insurance companies, procedure codes, diagnosis codes, HCFA forms to print, envelopes to stuff, stamp and post. And if it's not done correctly, there's re-work, re-submittal, and delayed payment. Of course there's a better way.

Now on the Internet
Today the Internet provides an obvious solution and natural application for even the smallest practices to benefit from immediately: you use your PMS to prepare and batch up your claims, then instead of sending it out over a VAN or dialing up a clearinghouse, you simply open your browser, access your member account at FreeClaims.com., and upload your batch file. You get confirmation that your batch was received, within minutes along with notice of any difficulties or errors. Quickly. Securely. Any time of the day or night, from anywhere in the world. And for standard HCFA claims to payors who accept electronic claims, it's free.

How can it be free? Because everyone has a vested interest in efficient electronic claims processing. Because electronic processing saves everyone money. The most straightforward types of claims to process sail through the system, freeing staff to handle the "special" cases and resolve anomalies. Once a claims processing system is understood by the user and the data coming in is known to be reliable, it literally runs itself.

To capitalize on FreeClaim.com's efficiencies, the provider, IPA or billing professional needs to have a large volume of claims to process monthly, a means to electronically format claims, a method for batching the claims in a file, and an Internet connection. The AnviCare support people work with your staff up-front to be sure they can format, batch, and submit claims, and that the complete processing cycle occurs.

You can access the FreeClaims website at www.freeclaims.com or call PPN Information Systems with questions at (972) 612-7273.

 

Claimstronic Practice Management System

Claimstronic is AnviCare's practice management system and was first offered to the medical community in 1994. It is a Windows based software that makes it easy to standardize your practice, patient and insurance data from the point the data is created through its many accesses and updates throughout the encounter, billing and claims processes.

For more information regarding Freeclaims or Claimstronic, you may contact AnviCare at (713) 981-7700.

 

The Health Information Network

The Health Information Network (THIN) is a valuable partner with the PPN in assisting our physicians with electronic billing and with claims data collection for clinical integration purposes.

THIN is an electronic claims clearinghouse service for healthcare providers. It allows physician offices to file all health insurance claims electronically which reduces administrative costs, speeds claim payment and improves accuracy of payment.

THIN also enables physician offices to determine benefits and eligibility for various carriers and government programs electronically. THIN is committed to working with all PPN contracted payors to assist them with electronic connectivity. The THIN system is designed to be simple to use. It can be integrated into the software systems typically used in the physician office.

 

When fully integrated, THIN is able to offer the following transactions to participating providers:

  • Eligibility/Benefit Verification
  • Health care claim submission
  • Claim status request
  • Claim status notification
  • Claim remittance advice
  • Managed Care related transactions
  • Referral request
  • Referral approval
  • Automatic Funds Transfer
  • Print to mail capabilities for $0.39 per claim sheet

 

THIN will route all encounter data for PPN specific contracts back to the PPN, provided that the claims are denoted correctly within the physician's practice management system.

You may visit THIN's website at www.thinedi.com or call PPN Information Systems at (972) 612-7273 for more information.