Our Products: CLAIMfx

Every day medical office managers find themselves swamped. Endless calls to and from insurance companies and imposing stacks of claims make you wonder how you can improve the productivity of your office staff. Now there is a way to take back your workplace. CLAIMfx allows you to simplify your office workflow, saving you precious time intended for patients. We enable you to more quickly resolve insurance issues with our rapid claims process so you spend less time in follow-up. This means more money to your bottom line.


Powered by the nation’s second largest clearinghouse, CLAIMfx makes electronic submission of claims quick and easy without duplicate data entry. CLAIMfx is network compatible and interfaces directly with GBA’s practice management software MEDfx to submit claims electronically. Because MEDfx is web-enabled, with one click claims are on their way to payers across a secure transmission environment.


Comprehensive Claims Tracking


CLAIMfx utilizes a web-based claims transaction management tool enabling us to assist providers in managing accounts receivable with access to clearinghouse and payer reports.


And, now customers can call GBA’s Technical Support Department for all their claims issues, providing one source for all their claims questions with real-time claim status and history, often eliminating time consuming calls to payers.


Flexible Payment Plan


Now you can select your payment options. Customers can choose from a discounted flat fee solution, paid annually per provider or monthly billed per provider fee. Per claim paper claims are also available.

Available Premium Services


Real-time service via an easy-to-navigate, secure website that checks for mistakes in claim data, insurance company receipt of claims, and reimbursement levels. The service edits claims for payer-specific requirements and within minutes notifies you if something is wrong.

The only technology of its kind that supports real-time processing and direct connections between providers, payers, labs, vendors, and pharmacies.

Features:

  •   Web-enabled for seamless and efficient claims submission
  •   Validation prior to submission for reduced errors
  •   Faster reimbursement with 100% clean ANSI claims
  •   Easy retrieval of comprehensive claim status reports within hours
  •   Dramatically reduces rejections
  •   Payer reports in standard format (not carrier specific) for easy review
  •   High speed and secure, encrypted transmission
  •   Get ERA in a standardized format
  •   Verify insurance eligibility in real-time
  •   Run a claim status inquiry for real-time payer information
  •   Correct and resubmit rejected claims in real-time
  •   One-click creation of timely filing letters or appeal cover letters
  •   Quick glance display shows up to six business reports

 


 

 

CLAIMfx for PMS Gold
Pre-Installation Tasks

Click here for PMS Gold 8.30 Post-Conversion Tasks document.