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Key Benefits
ECL Electronic Medical ClaimsECL Electronic Medical Claims (ECL EMC) easily integrates with your current medical billing software, including Lytec™ and Medisoft™. Most EDI or ANSI modules that plug into your medical billing software try to read a print image of your HCFA 1500 form. There are several problems with this. One is that each system will create this file differently so your software could read the wrong data when parsing it into fields for your ANSI 837 document. Another problem is that your HCFA 1500 file does not contain all of the data necessary to create the ANSI 837 document. This results in either the need for additional manual data entry or rejected claims. ECL EMC pulls it's data right from your databases through the use of customized ECL Processes. ECL EMC also includes the ability to receive the ANSI X12N 835 payment advice. It will automatically reconcile your claims. If your medical billing software does not have the ability to reconcile claims then you can use the ability of ECL EMC to accomplish this and print a reconciliation report. Also all non EDI forms sent to you by your payers will be printed as well. When you purchase this product an implementation specialist will either remotely log into your system or arrive on site to connect ECL EMC to your data structures and to create whatever data structure is necessary to ensure that all of the ANSI 837 data is available to the application. Your specialist will also verify and complete the connections to each of your payers, to ensure you can easily trade data with them.
ECL Electronic Medical Claims PlusECL EMC+ offers the same core technologies as ECL EMC plus offers the ability to send and receive the ANSI X12N 270/271 Health Care Eligibility Benefit Inquiry & Response, the ANSI X12N 276/277 Health Care Claim Status Inquiry & Response, and the ANSI X12N 278 Health Care Services - Request for Review & Response.
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