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Archive for Medical Billing Clearinghouse

Medical Billing Clearinghouse: Seven Keys to Reimbursement Success

Come join a free Tom Limoli webinar on the Seven Keys to Reimbursement Success

Seven Keys to Reimbursement Success is a winning strategy for every dental office team.

Tom Limoli, Jr. is the prevailing expert on proper coding and administration of dental insurance benefit claims. He serves as president of Limoli and Associates, a company that over the past quarter century has assisted dental offices in streamlining the insurance reimbursement process. Mr. Limoli’s no-nonsense approach to the management of third-party reimbursement has been implemented in thousands of dental practices across the country.

  • Documented diagnostic specifics in order to secure more comprehensive reimbursement
  • Phased treatment planning that helps patients say “yes” to both improved oral health and aesthetics
  • Sound financial arrangements as well as separate benefits assessment to help the patient make the most of their plan
  • Accurate coding for stress free documentation and reimbursement

Register Now

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.

Posted in: Medical Billing Clearinghouse

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Medical Billing Clearinghouse: Customer Support Tip: Payer Correspondence

One value that Apex provides its clients is delivering correspondence from payers to clients. This correspondence helps doctors better understand the status of their claim. If a payer rejects a claim, a doctor can know in most cases within 2-3 days, instead of waiting for an EOB to explain the rejection.

This benefit is a significant help towards getting doctors paid for claims in less time. Apex account managers strongly encourage all clients to check payer correspondence daily to ensure claim payment is not delayed. At Apex, we care about getting doctors paid.

Learn more about how to contact customer support.

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.

Posted in: Medical Billing Clearinghouse

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Medical Billing Clearinghouse: How Can Electronic Funds Transfer Help You Build Your Practice?

Do you want to save thousands of dollars in your practice every year? Accepting electronic remittance advice (ERA) from your clearinghouse and electronic funds transfer (EFT) payments from health insurers can automate your claims process and:

  • Speed payment
  • Reduce time spent on administrative tasks
  • Eliminate lost paperwork and expedite claims payment
  • Reduce the risk of lost or stolen checks
  • Allow your staff to pursue revenue-generating functions

An EFT allows transfer of money between your payers and your bank electronically. Payment by paper checks can be time-consuming, but an EFT can be an efficient means of payment for your practice. EFT can save your practice time and money by reducing administrative tasks involved with processing and depositing paper checks.

Accepting EFT can help reduce time your staff spends on administrative tasks. For example, practice staff who currently open mail and complete bank deposits transactions might be able to perform more productive tasks, such as make appointment reminder calls, investigate overpayments and underpayments from payers, appeal denied claims, and review aging reports.

Your practice should consider using EFT to further automate your claims management revenue cycle. EFT is a great compliment to the service Apex EDI provides your practice. Claims are submitted electronically and payment should be returned from your contracted health insurer electronically. The process is usually faster than a comparable paper exchange and your practice should also see significant administrative cost savings—saving your practice half of your annual payment processing costs.


* Based on 3,600 annual claims submitted by a single physician.
Source: Milliman, Inc., Electronic Transaction Savings Opportunities for Physician Practices. Technology and Operations Solutions. Revised: January 2006

Consider your practice's situation while you're evaluating accepting EFTs from your payers—especially the current claims management revenue cycle for your practice. The claims management revenue cycle is different from the typical EFT enrollment process you'll find for payroll or household bills. There are often several business trading partners involved in the process. Your business practices and your associated business trading partners will influence the process you should put in place.

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.

Posted in: Medical Billing Clearinghouse

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