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Ophthalmology Claims

As an ophthalmology professional, you must ensure all claims are submitted properly to ensure your business continues to run smoothly. Here are a few general tips to make sure claims are both accurate and timely. First, as with any claim, be sure to obtain and verify all of the necessary patient and provider information. Accurate […]

Claims Processing: Dental Claims vs. Medical Claims

There are some similarities between preparing dental claims and medical claims. For example, patient and insurance demographics and insurance information that must be provided to medical carriers are similar. However, there are some very significant differences between the two. While dental carriers typically require a procedure code. Medical carriers not only require procedure code(s) but […]

Podiatry Claims: How to Reduce Podiatry Claim Denials

Denial of a podiatry claim is at best, upsetting for the doctor and staff. At worst, it’s an unexpected cost, which if ignored and continually repeated over time can reduce the value of your business. Taking the time to correct these errors and educate staff will lead to proper payments in the future. Long term […]

Apex EDI Review: The Benefits of Partnering with Apex EDI

We at Apex EDI are the leader in private label claims delivery. We created a One Touch Solution to offer you a secure, easy, and inexpensive way to process your private insurance claims electronically. Within two weeks, we will improve your bottom line by lowering the cost of claims processing, providing faster reimbursement to your […]

Apex EDI Review: Why Choose Apex EDI

With electronic data integration (EDI) reaching the forefront of electronic data transfer, more and more services seem to offer this option for medical and wellness practitioners. How do you know which service to choose? Apex EDI offers a host of positive features that will allow your practice to run smoothly, but here are a few […]

Medical Billing Clearinghouse: What is the Role of a Medical Clearinghouse?

Apex EDI's clearinghouse solution helps doctors focus on healing.

In the world of medical billing, there are a few concepts that can get a bit confusing. One of these concepts is that of a medical clearinghouse. What exactly does a clearinghouse do, and why is it important?  Let’s discuss the role of the medical clearinghouse, its benefits, and how to choose one. What They […]

Sleep Apnea Claims: How to Code and File a Sleep Apnea Claim Correctly

As the practice of wellness becomes a more congruous and cohesive effort between practices, many medical and wellness practices begin to file insurance claims that might normally be filed with a specialist. One such claim is that of sleep apnea oral appliance therapy (OAT) devices. When filing for a patient to receive treatment for sleep […]

Physical Therapy Claims: Top Tips for Filing a Physical Therapy Claim

As a physical therapist, you have a lot on your plate. Filing claims shouldn’t take up the majority of your time and resources. We’ve compiled the top three tips for filing physical therapy claims to increase efficiency, profitability, and patient care. Optimize Claims The first step is to optimize your claims. Be sure to use […]

Urology Claims: The Do’s & Don’t’s of Filing Urology Claims

As a urology professional, you know the ins and outs of your practice. Here are a few helpful tips to ensure that your claims billing process maintains an even keel. Do Verify Patient Information As with any claim submitted to insurance, verification of patient information is critical. Be sure to obtain the patient’s insurance information, […]

Dental Claims: What Information is Required for Filing a Dental Claim?

Even though diagnosis and billing codes may vary from patient to patient, a few items are required consistently on each dental claim. We’ll now discuss which items you’ll need to ensure are visible on each claim before submission of payment to the payer. What’s Required The following information is required for filing a dental claim. […]