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A Typical Visit: What your Chiropractic Claim Will Pay For

A chiropractor can work with you to establish goals for reducing back pain and restoring the independence you need to participate in your daily activities. At the initial consultation visit, the chiropractor will complete a thorough 45 minute exam and diagnose a treatment plan. Most will also offer advice on how to avoid future back pain or injury.

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Because this practice has a variety of techniques and approaches, it is beneficial to prepare ahead of time and bring a list of questions with you. You’ll also want to bring information about your medical history and background on the current injury. The chiropractor will ask you to describe the injury and pain in detail.


Your claim will pay for an exam that includes general tests to measure blood pressure, pulse, respiration, reflexes, muscle tone, muscle strength, and neurological integrity. Depending on your specific needs, you may also be asked to perform range of motion tests which require you to move in a specific manner, posture tests, or a spinal adjustment. There are hundreds of adjustment techniques used by chiropractors throughout the world to restore joint functionality, movement, and reduce pain.

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By the end of your visit, you will discuss an ongoing treatment plan that may include future spinal adjustments, ultrasound, strengthening exercises, massage and education on proper posture or nutrition. For most types of lower back pain, 1 to 3 chiropractic visits per week for 2 to 4 weeks will be prescribed, followed by a re-examination. If needed, you may be referred to other specialists until your mobility improves and the pain ceases.


It’s easy to get started by researching providers in your area. You may want to ask for recommendations and discuss chiropractic approaches over the phone with the clinic to help with your selection. Once you’ve made your choice, Apex EDI makes it easy to get your chiropractic claims paid.


Contact us to learn more.

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The above is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about.

Posted in: Chiropractor Claim, Medical Claims

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Who is Apex EDI?

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We are Apex EDI and we are the best choice for electronic medical, dental and vision claims processing. We are committed to the fastest, most personal service and highest quality support in the healthcare industry. We are unique because our flexible technology offers the most complete range of features and works with any practice management software.

We at Apex EDI created the OneTouch® solution to offer you an easier and less expensive way to process your insurance claims electronically and receive faster reimbursement. Electronic claims are submitted in a simple two minute operation. Electronic patient statements and eligibility verification are also available.

Serving medical and dental providers in every state is what Apex EDI does. Our technology interacts with more healthcare payer organizations than any other EDI solution. Our growing international customer base has access to our website 24 hours a day and 7 days a week to manage and send their medical insurance claims to thousands of insurance payers.

Also, Apex EDI is one of Utah’s 100 fastest growing firms since 1995. We thrive because we offer unrivaled superior customer service. You simply won’t find our personalized approach to customer service anywhere else. You will always have a representative assigned to your account to speak to directly when you have a question or need help.

Our team of bright, creative problem-solvers are trained and experienced in every aspect of revenue management. We are ready to simplify the payment process for you so your team can focus on the wellness of your patients.

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Contact us to learn more today!

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 

Posted in: Apex EDI

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Medical Credentialing With Apex EDI

Medical credentialing is a complicated process that may take many hours or several days of your time to complete. Apex EDI has the experience to get you credentialed with the correct insurance payers quickly and inexpensively. Save your time and money by having an Apex EDI specialist complete your credentialing applications and submit them to payers.

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This will leave your team free to focus on patient care while Apex EDI deals with payers on your behalf. Our service is so cost effective, it can be recovered with the first few patient claims paid. We understand the process and can complete all applications, monitor your account, let you know when you need to re-credential and ensure 100% accuracy.   

You will be provided with your very own dedicated credentialing specialist for personalized service. Trained and experienced specialists are available by phone or E-mail, Monday through Friday, from 8 am – 5 pm. Your specialist will work with you to research status, add or remove providers, obtain your NPI, and consolidate applications or complete them one at a time.  

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On the other hand, if you turn away just one potential patient because you haven’t credentialed with their insurance company, you’ve lost business and profit. We have experience working with all major commercial, government, state and EFT payers. Whether you are credentialing with insurance payers for the first time or re-credentialing for the sixth, let us show you how to put more time and money in your pocket with a cost analysis.

It’s easy to get started with Apex EDI. Contact us to receive a personalized quote today.

Posted in: Apex EDI, Medical Credentialing

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Getting Tested for Sleep Apnea

Sleep apnea is a common health problem that is characterized by interruptions in your breathing cycle while sleeping. Lack of a restful night can lead to headaches, stress, chronic fatigue and can increase your risk for a variety of health issues including diabetes and high blood pressure. If you experience frequent sleep disruptions such as loud frequent snoring or pauses in breathing it’s important to see a healthcare provider for a sleep apnea test.

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The testing process is simple, painless and fast. It may take place overnight in your home or in a sleep lab facility depending on your health provider and insurance coverage. Most people don’t experience any discomfort during the test and fall asleep during the procedure. Adhesive sensors are placed on your body at the scalp, forehead, chin, chest, leg, and index finger to collect information from your brain, heart, lungs, and muscles. Bands may also be wrapped around your chest and stomach to measure your breathing. Data is gathered while you sleep.

Your doctor will review the information on your sleep patterns and work with you to develop the best treatment plan for your condition. There are lots of treatments for sleep apnea including special equipment and breathing machines that can help you to get a peaceful night’s sleep. The first step in a healthier life is getting tested.  

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Most insurance companies will pay for a medical sleep study ordered by a provider. At Apex EDI, we’ll make it easy for you to pay your sleep apnea claim. We know a good night’s sleep is vital to your overall health. If you are interested in finding out more about these type of claims then contact us at Apex EDI today!

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The above is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about.

Posted in: Sleep Apnea Claims

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ICD-10 Changes – Filing Your New Claims

ICD-10-CM is the diagnosis code set that replaced ICD-9-CM Volumes 1 and 2. ICD-10 is used to report diagnoses in all clinical settings. All providers, including physicians, health care clearinghouses, and payers must comply with ICD-10 to meet the Health Insurance Portability and Accountability Act (HIPAA) requirements.

ICD-10 codes went into effect on 10/1/15 for claims with a date of service on or after 10/1/15 and replaced an outdated code set that had been in effect for over 30 years. This update was essential to reflect advances in medicine, medical technology and knowledge. The greater detail available in the ICD-10 code set means that the code can provide more specific information about the patient diagnosis.

 

While many payers struggled to prepare for ICD-10, APEX EDI successfully tested ICD-10 claims with Medicare, Blue Cross Blue Shield, Medicaid, Worker’s Comp, and other payers. We also participated in numerous ICD-10 webinars and training sessions with providers and industry leaders in billing and paying services.

Apex EDI recognizes the change to ICD-10 as a significant shift for healthcare providers. Many providers have experienced disruptions in transactions being processed and receipt of payments. Physicians have been urged to set up a line of credit to mitigate any interruptions in cash flow.

Our systems were updated early in this change to transmit ICD-10 codes. Contact us today because we have a supportive, friendly staff available to simplify all phases of this change for you. We will answer questions, offer educational resources, test your claim files, and work with channel partners and payers to ensure you receive faster payment in compliance with current codes and regulations.

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The above is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about.

 

Posted in: Apex EDI

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