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Electronic Claims Management Services Through ENS

ENS provides and supports a full suite of services designed to increase cashflow, productivity, and automate and streamline workflows between providers and healthcare payers. ENS' services enable providers to trade all of the payer - mandated HIPAA transactions.

ENS Services include:

bullet
Click here to view a Flash Demo of all these services

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Sending Electronic Claims
Increase your cashflow and billing efficiency by sending claims electronically to over 1,500 insurance carriers, managed care companies, and governmental payers.

bulletElectronic Claims Tracking (ECT)
ENS' Electronic Claims Tracking(ECT) will let you know the status of a claim or group of claims within seconds. ECT is a web-based query of your electronic and paper claims sent through ENS. ECT allows you to quickly search any claim you have sent and ensure they were properly received by the insurance payer within seconds.
bullet Checking Patient Eligibility Online
Discover ways to check if your patient is insured, as well as obtain plan information, co-pay, and other valuable insurance information within seconds.
bullet Electronic Patient Statements
Free-up your staff's time by converting time-consuming patient statements to a fast and efficient electronic format.
bullet Online Referrals & Authorizations
Discover new ways to submit your referrals quickly and effortlessly. Eliminate hours on the phone with insurance companies by going online to conduct referrals, precertifications, and authorizations.
bullet ERA & Electronic EOB
Receiving Electronic Remittace Advice (ERA) automates the payment posting process for many payers. ENS converts payer remittance to a single electronic format for your account receivable system. Electronic EOB allows authorized users to instantly access and print EOBs online for all ERA data received. ENS archives all ERA files and Electronic EOB images for your future access. (Requires ERA Autopay Module for Medisoft users).
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ENS Services Pricing PDF DOC
Medical Claims Payer List
updated 04/17/06		 PDF DOC
ECT Participating Payer List
updated 04/17/06		 PDF DOC
Hospital Claims Payer List
updated 04/17/06
 		 PDF DOC
Real-time Eligibility Payer List
updated 04/17/06		 PDF DOC
Real-time Claim Status Payer List
updated 04/17/06		 PDF DOC
Electronic Remittance Advice Payer List (ERA)
updated 04/17/06		 PDF DOC
Referrals/Authorizations Payer List (Portal)
updated 04/17/06		 PDF DOC
For a list of additional governmental payer formats currently in development
updated 04/17/06		 PDF DOC
   

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Last modified: 01/24/05