Insurance | v14 | v15 | v16 | v17 |
|---|
| Revenue Management- integrated electronic claims solutions that improves claims, eligibility and remitance processing | | | X | X |
| Customizable and Flexible Grid Entries for Insurance Carriers, Providers, Your Practice, and Your Data Requirements (improves claim generation) | | | X | X |
| Eligibility Data Entry and Processing Logic- gives greater control and the ability to manage payor IDs | | | X | X |
| Ability to Define When the System Checks for Eligibility Updates- enhanced system performance | | | X | X |
Enhanced Search Filters in Payor ID Lookup Window (includes ability to add,
edit and delete a record) | | | X | X |
Security Assignments Same for Insurance and Eligibility (streamlines
eligibility security and access) | | | X | X |
| Changes Made to Comply with the ANSI X12 Version 5010 Standards for the Transmission of Specific Healthcare Transactions | | | | X |
– New Windows or Tabs: EDI Note Tab on Edit Claim Window; EDI Notes
List Window; EDI Note Window | | | | X |
– Several Fields Moved and Windows Restructured to Accommodate
Moved Fields | | | | X |
| – Several New Fields Added Throughout Medisoft | | | | X |
| – Option for UB-04 Condition Codes Moved to Main Lists Menu | | | | X |
| – Several Additional Options Added and Other Changes Made | | | | X |
Revenue Management electronic remittance advice (ERA) processing
updates to comply with ANSI-5010 | | | | X |
| – Updates to the RelayHealth Implementation Guide (IG) | | | | X |
| – New Remittance Delivery Method (RDM) Elements Added to Loop 1000B | | | | X |
– New Coverage Expiration Date (DTM) element added to explain that
coverage was denied because the patient’s coverage has expired | | | | X |
– New Claim Received Date Elements (DTM) added in Loop 2100 so that
they are recognized if they are received | | | | X |
| – Updates Made to the Claim Preview Report and Claim Details Report | | | | X |
Revenue Management Enhancements (to reduce the number of clicks to
perform certain tasks, and simplify the setup and configuration process) | | | | X |