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Alert system
Traditional software
When a problem develops with a client's insurance...as discovered
when a claim is returned...a request is made for more info...or
just a message on an E.O.B., this information must be communicated
quickly to everyone who has a stake in the claim. Most software
lets the user worry about it. The user ends up photocopying E.O.B.'s
and other paperwork...and passing it around. It creates a lot of
paper...and often, the right people don't get the word.
Summit-Edge
The "Insurance Processed" report keeps everyone alerted
to what is going on with a client's insurance. It is very simply
a summary of processing done in the previous day...mainly E.O.B.'s.
The report is separated by therapist...so that each therapist can
see what is going on with their client's insurance. They can see
what is getting paid...and more important, what is not getting paid.
Another important report is the "Insurance Needs Report".
When the billing person prints HCFA's, the software only prints
claims that are complete. If the claim cannot be printed...because
of missing information, this is identified in the "Insurance
Needs Report".
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