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News & Events: Apex EDI Supports Partners with Extended Integration

Apex EDI continues to support our partners in new and exciting ways. Our technology partners can set themselves apart by offering Apex EDI's electronic claims services as an integrated component of their practice management software.

Recently Apex EDI's development team released web service calls built around the eligibility product. These calls, or bits of programming code to make the two applications work as one, will enable software developers to seamlessly integrate the Apex eligibility functionality directly into their practice management software, giving you a simplified process for checking patient eligibility.

Online eligibility helps your practice save time and money by helping you determine what the insurance payer will cover before you see the patient. Using the online eligibility tool will help reduce the time it takes to verify benefits, reduce the number of rejected claims and denials, and improve cash flow by determining and collecting the patient's portion at the time of service.

This advancement allows practices to take advantage of the eligibility product Apex EDI provides directly from their practice management software. This simplifies the online experience for offices and is a powerful tool for practice management software companies to create a better product for their clients.

Another example of this type of integration is Apex EDI's partnership with vision payer—Davis Vision. Apex EDI recently created a partnership with Davis Vision to allow vision providers to submit electronic claims. By integrating Apex EDI's technology into Davis Vision's business process doctors can streamline the electronic claims submission process, and improve claims turn-around times.

With our partners Apex EDI is ready to save your practice time and money—no matter what practice management software or electronic claims processing system you use today.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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News & Events: Apex EDI Sponsors Dental Insurance and Reimbursement Webinar

Apex EDI is sponsoring a five part live webinar series on Dental Insurance and Reimbursement. The webinar, Mastering the New Codes and More, will be held weekly online between January 25 and February 22, 2011.

The Course is offered by reimbursement expert Tom Limoli, Jr. of Limoli & Associates and will focus on the most common as well as challenging sections of the coding sequence. It will help your office eliminate barriers and improve billing communication to all parties involved.

Attendees can earn continuing education credit and learn:

  • How to accurately document, code, bill, and collect for completed treatment
  • How supplemental attachments support the doctor's clinical findings and treatment plan
  • How to give patients the greatest benefit from their plan

Learn More

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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Medical Claims Processing: 5 Insider Tips to Get Claims Paid—Fast

For the past 15 years, we have helped many practices get paid faster and with more accuracy. We've found some best practices and insider tips to help any practice improve their insurance reimbursement. Just to clarify, we're assuming that you already send your insurance claims electronically. If you're reading this, you probably found it on the Internet. Which means you already understand the value of the Internet on your practice.

In no particular order here are 5 ways to get claims paid quickly:

Get Serious about Tracking Claims

Make sure your clearinghouse offers a simple way to track your sent claims. You should verify that:

  • Claims are received by the clearinghouse
  • Claims are successfully processed and sent to the payer
  • Additional payer requirements (like requests for more information, or attachments) are met

This may sound like a lot of work, but a good clearinghouse will automatically provide this information to you.

Ask for the EDI Department

Nothing is more maddening for a practice then to hear the words—we never received your claim. An office can see that the claim has obviously been sent and the clearinghouse has record of sending the claim, but you have to make sure you are speaking to the right people.

When you call an insurance company you usually speak with the customer service department. When they say they never received a claim, that may be true. Your claim may be held up in the payer's EDI (Electronic Data Interchange) Department where the customer service department can't even see it yet. One easy trick is to ask to speak with the EDI department. This department makes sure the data has arrived safe and sound. They control the inflow and integrity of the information.

So by simply asking to be transferred to the right department, you will avoid a lot of frustration.

Set Up Direct Deposit

You already receive your paycheck this way, but your business has to wait for funds the old fashion way? You can do better by using the direct deposit options offered by most insurance companies. Some of our clients have experienced lightning fast claims reimbursement by using eClaims to deliver, and direct deposit to receive. Amazingly some offices have seen a complete turnaround from patient to paycheck in only 4 days! Admittedly, this is still the exception, but the concept is sound. Call your insurance specialist to enroll. It is absolutely the best way to get paid fast.

Take Time to Learn the Lingo and Read the Reports

Many practices mistakenly skip over important reports that are trying to tell you what you need to know. Out of desperation and a simple lack of understanding, billing professionals may be skipping over critical data. It's the classic example of being too busy driving to pull over and get gas—at some point it will catch up with you. It is important that you read and understand the information your billing partners are sending you. If reports just aren't making sense then consider the next step.

Keep Training Fresh and Consistent

Often someone becomes the office billing expert by being thrown into the position with little or no training. A simple way to avoid the training gap is to take advantage of free trainings offered.

Quality software, clearinghouse, and insurance partners offer refresher trainings for any new or fill in employees. This is a simple add on to ask for when purchasing your software or joining a clearinghouse.

You can also make sure the billing staff has adequate continuing education. People quit, get sick, or get overwhelmed, and often someone needs to step in to learn the ropes quickly. With such a menu of webinars and online content available, you can easily find something that matches your philosophy and refer back to it as the staff changes. The local chapter of your industry association can help you.

Use these tips to see how you can speed up reimbursement in your practice.

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News & Events: Electronic Claims Service Provider Apex EDI Partners With Davis Vision

Apex EDI, one of the nation's leading e-claims reimbursement companies for dental and medical professionals, has announced a partnership with Davis Vision to allow vision health care providers to submit electronic claims using Apex EDI as their clearinghouse.

Davis Vision, one of the nation’s leading managed vision care organizations, serves 55 million member subscribers. This partnership could allow 30,000 Davis Vision providers access to the Apex EDI One Touch™ solution and allow vision care providers to simplify practice operations.

“This is a big deal,” said Sheldon Miner, CEO of Apex EDI. “As one of the first alternatives for vision providers to submit electronic claims, this is a great opportunity for doctors to make their businesses more profitable. When doctors and their staffs see how easy the Apex OneTouch® solution makes it to save time and money, they understand how rewarding an experience it can be.”

“Davis Vision is excited to begin its trading partner relationship with Apex EDI.” David Merwitz

“Davis Vision is excited to begin its trading partner relationship with Apex EDI. Davis Vision views this relationship as being beneficial to both its internal operations and its network of doctors,” said David Merwitz, Director of Retail Relationships & EDI Services at Davis Vision. “Providing alternative claim submission methods, streamlining the claims submission process, and improving claims turn-around times for Davis Vision and providers are just some of the expected benefits of working with Apex EDI.”

Apex EDI has served the professional vision, medical, and dental community for more than 15 years with leading-edge technology solutions focused on streamlined and efficient claims processing. Its Apex OneTouch® solution is a complete electronic claims reimbursement system that enables practices to get paid fast by preparing and submitting insurance claims in less than two minutes a day.

Apex OneTouch® users pay one low monthly fee for all electronic claims no matter how many are submitted, and it does not require any investment in new software. Many practices find they save as much as 40% in processing fees alone.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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News & Events: Apex EDI Partners with TotalMD To Offer Comprehenisve Business Solutions To Medical And Dental Providers

Apex EDI, one of the nation's leading e-claims reimbursement companies for dental and medical professionals, has partnered for years with TotalMD/DentiMax Software to offer industry-leading products and services to the medical and dental communities. Through this partnership, TotalMD/DentiMax providers have had access to a team of professionals who help physicians and dentists get paid quickly and accurately.

“I am very impressed with the claims processing software developed by Apex EDI.” Cody Jones

“We are excited to join together with TotalMD/DentiMax Software in our efforts to improve the payment process for providers,” said Sheldon Miner, CEO of Apex EDI. “Our mutual clients can be assured that we are working together to make sure claims are getting processed quickly and correctly, giving providers the time to focus on their patients instead of worrying about their accounts receivable.”

“I am very impressed with the claims processing software developed by Apex EDI, which streamlines the process for submitting electronic claims,” said Cody Jones, Director of Sales of TotalMD. “We are pleased to work together to offer providers a complete set of solutions geared to getting them paid.”

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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