We encourage you to begin the enrollment process as soon as possible so that you can enjoy the time and money savings of electronic claims. After subscribing to the clearinghouse and entering your billing information, a file is created that contains your claim information. The file is then transmitted through your modem to the clearinghouse using the built-in functionality contained in Lytec Medical. As the clearinghouse receives your claims, they are checked for completeness and accuracy. If you have made a mistake, you are notified as you complete your transmission to the clearinghouse.
Direct Claims Submitting claims directly to an insurance carrier is a little more complicated.
As explained above, you must first enroll with the carrier. Most government carriers and many commercial carriers require that you enroll with them prior to submitting claims electronically to them. You will also need some additional software from each insurance carrier that you wish to submit claims to. Many carriers have their own software or know of someone who supports direct transmissions in your area. At Y2K Medical Billing, we also work with many local business people who have created direct submission software modules.