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.

Availity is a valuable partner with the PPN in assisting our physicians with electronic billing and with claims data collection for clinical integration purposes.

In 2001, a team of forward-thinking professionals at Blue Cross and Blue Shield of Florida, Inc. and Humana Inc. sought to empower and connect all Florida health care professionals with a smarter, online approach to electronic claims and other daily health plan transactions.

Availity combines dynamic technological innovation with an in-depth understanding of the health care industry. Our unique business model is based on the mutual benefits of collaboration and expansion of our network—not fee-based profits. We strongly believe that collaboration is the only way to reduce the rising administrative costs for all participants in the health care system.

And we’ve shown that our unique business model works. In less than 10 years, we‘ve become one of the largest EDI clearinghouses in the nation—processing more than 700 million transactions annually—and the most advanced electronic Health Information Network. We’ve saved millions for providers and health plans, and helped grow the businesses of our technology partners. Most importantly, we’re reaching our goal of making health care about patients, not paperwork.

Availity 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 Availity's website at www.availity.com or call PPN Information Systems at (972) 612-7273 for more information.