eClaims

MacPractice eClaims is an integrated Ability incorporating insurance estimation and online eligibility verification. eClaims are sent via the Internet with a click of your mouse and delivered to each payer eliminating paperwork and dramatically reducing costs and freeing up staff time to handle other important tasks. eClaim results may be managed at any terminal with MacPractice.

• Eliminate paperwork
• Send eClaims through the internet
• Manage eClaims from any terminal
• Reduce staff cost
• Increase staff productivity

eClaims may be sent and managed from any terminal

eClaims are sent to Capario with a click of your mouse, and Capario delivers claims to each payer. eClaim submission eliminates paperwork (printing, copying, sorting and mailing), dramatically reduces costs, and frees staff time to handle other important tasks such as collecting overdue accounts and claims. MacPractice software verifies the validity of your claim prior to submission. Capario checks further before sending to the payer. Claims with missing or invalid information are marked in MacPractice as rejected by Capario within a day or two -- instead of two to three weeks for paper claims. Reimbursement wait time is typically reduced to less than 14 days.

ERA (Electronic Remittance Advice)

MacPractice offers ERA via Capario. An ERA is the electronic version of a paper Explanation of Benefits (EOB). MacPractice automatically downloads the payer's ERA for you. The MacPractice ERA Manager associates each payment to a corresponding claim in your software and permits office personnel to simply approve the payment for auto-posting. Utilizing ERA's can save hours of employee time per day and provide 100% accuracy in posting.

Capario Standard and Premium Portal Services

To further enhance your insurance processing efficiency, MacPractice users may subscribe to Capario's Portal Services. Portal provides on-line access to all your claims. You may check claim status, edit a claim and resubmit, and you have access to extensive reports providing invaluable practice management statistics. You can verify your patient's insurance eligibility on-line as well.

Another useful feature of Portal is to provide proof of timely filing, an otherwise extremely difficult and time consuming, if not impossible, task. Insurance carriers (payers) require that claims be submitted within a certain period of time after the date of service. A claim may be denied if you cannot provide acceptable proof of timely filing.