Documentation

This module will demonstrate how to add and remove users. It will also cover the different privileges that can be assigned to users.

Claim.MD's Provider Enrollment page simplifies your organization's healthcare billing paperwork and portal completion process, allowing you to efficiently enroll with payers to submit claims, receive electronic remittance advice (ERA), and eligibili...

This page is where to view, download and send ERA. After enrollment (see Provider Enrollment ) the payer will start submitting ERA to Claim.MD after the enrollment has been processed by the payer. This usually takes a week or more. It is crucial to...

With Claim.MD, you can generate detailed reports for your processed claims, giving you access to essential data and insights. By reviewing these reports, you can analyze your billing performance, identify any issues with specific payers or procedure...

 Click on Search in the left-hand navigation menu. Search for claims using various criteria. Use one ore more criteria such as Patient Last Name and Billing NPI.   More Information Please note that entering data into the fields f...

This section of the software is used to help verify the patient's insurance coverage and determine what services are covered by the insurance plan, as well as any co-payments or deductibles that the patient may be responsible for paying.  S...

Click on  Summary Page  on the left-hand navigation page to navigate to the Summary Page.  The Summary Page is a good place to see an overview of an account.  It is a good idea to check this when logging into the system...

The Support Tickets system is designed for managing and tracking user inquiries within the Claim.MD platform. Guidelines for Creating New Tickets For efficient resolution of different types of support inquiries within our system, please follow...

Sometimes, in order to reference a claim, ERA, or eligibility inquiry to Claim.MD Support, you will want to add an example to an existing support ticket.  Follow the steps for appending a claim, ERA, or eligibility example to a ticket below. Cl...

Claim Adjustment Reason Codes (CARCs) are standard codes used in the healthcare industry to communicate why a claim or service line was paid differently than it was billed. These codes provide a standardized way to convey information about adjustmen...

Remittance Advice Remarks Codes (RARCs) are standardized codes used in healthcare billing to provide additional explanations for claim adjustments, denials, or payment delays . They accompany Electronic Remittance Advices (ERAs) or Standard Paper R...

Basic API Workflow Please review the API Technical Documentation for guidance on configuring the Claim.MD API. Workflow Considerations Consult with someone in your company who handles billing to better understand the normal workflow for submi...