Medical Claims Clearinghouse: Eligibility, Electronic Claims, ERA and more

Electronic claims are all about getting paid. The better your practice is at collecting from insurance payors, the more profitable your practice will be.

NextGen® Office is your best bet for having a rock-solid claims submittal and payment receipt process. Having an integrated clearinghouse built right into the claims management component of the software is the secret sauce. NextGen® Office has made this so easy for independent providers to collect from insurance that you will absolutely love it.

Start to finish, the claims process is awesome with NextGen® Office.

Call us at (480) 730-3055 to get a demo setup so we can show you just how amazing the electronic claims and clearinghouse are with NextGen® Office. Call us, or click the button below to set up a time for your one-on-one demo.


NextGen® Office Medical Eligibility Verification

Use the NextGen® Office simple electronic medical eligibility verification at the point of care.

With NextGen® Office’s medical eligibility verification system, you get:

  • Real-time eligibility and benefits information
  • Co-pay, co-insurance, and deductible data
  • The “Create Chart” button allows you to automatically create a patient chart directly from the eligibility check
  • The option to schedule an eligibility recheck at any period you specify before the appointment
  • “Just in time” eligibility checking will remind you whenever coverage has changed
  • All these items plus much more will help you get paid faster

NextGen® Office Electronic Claims Submission with Integrated Clearinghouse

Using the integrated NextGen® Office clearinghouse is the simplest and fastest electronic claims workflow you’ve ever seen. Submit quickly and get paid quickly.

Each year, hundreds of millions of dollars’ worth of medical claims are successfully billed through the NextGen® Office clearinghouse. With built-in edits, your first pass acceptance rate will be higher than you’ve ever seen.

  • Connected to thousands of payers
  • Manage your medical claims in the cloud
  • Pre-check and built-in edits keeps your first pass acceptance rate high
  • Claims scrubbing, and error reporting is done within minutes, so you can quickly correct errors and resubmit
  • With the patient chart being created from the insurance carrier information during the eligibility check, typos are eliminated, wrong data is eliminated, and claims acceptance improves
  • With the clearinghouse system built into NextGen® Office, there are no additional clearinghouse fee’s

Automated Electronic Remittance Advice (ERA)

Save time by automatically posting payments and adjustments with just one click in NextGen® Office.

  • Upload and download ERA files from the insurance provider
  • With just one click in NextGen® Office, automatically post payments to each patient from that ERA file, or make any adjustments
  • Save hours of time each week by automating the payment postings

Electronic Claims & Clearinghouse Reporting

Being able to see the status of your claims, and get detailed reporting is a critical component of a successful electronic claims process. With NextGen® Office, you’ll have all the information you need for tracking your electronic claims, and in real-time.

  • Dashboard reports allow you to visually see what’s going on with your claims
  • Track rejections or denials, and get alerts with the Claims Angel program
  • Everything you need to know about the status of your claims is neatly presented on the NextGen® Office web interface.

When you don’t have the right tools, submitting claims to insurance for payment can be time consuming, frustrating, and can lead to receipt of fewer insurance payments. Completely upgrade your electronic claims process by switching to NextGen® Office and using the integrated clearinghouse.

To see just how good it will be for your practice, call us at (480) 730-3055, or click to schedule a demo for your practice..

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