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