3rd Party Claims Management, Prescription Insurance Claim Processing, Third Party Medical Claim Reconciliation 

3rd Party Claims Management, Prescription Insurance Claim Processing, Third Party Medical Claim Reconciliation

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Please Scroll Down to research the leaders in the third party claim management & reconciliation industry. If your company provides medical claim management or services, please contact us to have your company added to the pharmacy technology showcase.

 

 


 

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Freedom Data Services

Third Party Solutions

PEP Systems

Provider Pay

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pep systems  pharmacy adjudication software prescription claims adjudicating services pep-systems
 

 

 

Freedom Data Services

 
Pharmacy Category:
Third Party Claims Software • DME • 3rd Party Accounts Receivable Programs
 
Freedom Data Services

Freedom Data Services

Freedom Data Services

Freedom Data Services

Freedom Data Services

FDS, Inc. dba Freedom Data Services® (FDS) is a Service Administrator providing value added services to the healthcare industry in the form of competitive switching services, on-line claim reviews, electronic Durable Medical Equipment (DME) claims processing, market share administration, and pharmacy profitability management. FDS offers professional, comprehensive and affordable solutions to everyday management and the business processes of its trading partners.

Freedom Data Services has developed strategic alliances with wholesalers, buying groups, Pharmacy Benefits Managers (PBMs), pharmacy associations, software vendors, product suppliers, and independent pharmacies throughout the United States. Being wholly owned by a Registered Pharmacist gives Freedom a program perspective that impacts our customer's bottom line.

EZ-DME Online DME Claims Processing

Freedom Data Services (FDS) offers online Durable Medical Equipment (DME) claims processing with EZ-DME® - the most complete and comprehensive choices for online Durable Medical Equipment (DME) billing services available today.

EZ-DME has over twenty years of durable medical equipment billing experience and the know-how to get customers reimbursed quickly for DME claims. Billing durable medical equipment claims is EZ-DME's business.

Submit DME Claims Directly From Your Current Pharmacy Software

Freedom Data Services' On-Line EZ-DME Claims Processing Service allows participating pharmacies to submit DME claims directly from their existing pharmacy management system using standard National Council for Prescription Drug Programs (NCPDP) formats.

Claims are edited and responses are returned, generally, within seconds. Claims processed using EZ-DME generally are paid in about 17-24 days of submission from FDS to Medicare.

  • EZ-DME does not just switch claims.
  • EZ-DME is not just a submitter.
  • EZ-DME will not assume anything pertaining to a claim.

For information about our other product offerings or to learn more about the Freedom Data Services , please use the links provided below.

 
Soft Writers

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EZ DME

 
Pharmacy Category:
Security Systems, Remote Order Entry/Telepharmacy
 
EZ DME Electronic Claims

EZ DME Electronic Claims

 

 

 

Electronic DME Claims Submission with EZ-DME

Bill, Track, & Reconcile Durable Medical Equipment Claims

Nothing is easier, more efficient, or more cost-effective.

  • Eliminate Costly Manual Billing Service Fees
  • Submit DME Claims via the Internet or Your Pharmacy System
  • Automate Recurring Rentals Billing
  • Submit Electronic Medicare Flu Vaccine Claims
  • Work Held Claims or Rejects via Secure Internet Site

FDS offers online Durable Medical Equipment (DME) claims processing with EZ-DME® - the most complete and comprehensive choices for online Durable Medical Equipment (DME) billing services available today. DME Billing with EZ-DME helps you to submit claims quickly and accurately. You can use your current pharmacy software to prepare and submit your DME claims—fill and submit a DME script just like a drug script and receive payment in about 17-24 days. Nothing could be easier, more efficient, or more cost-effective. EZ-DME bills all of the Durable Medical Equipment Regional Contractors (DME MACs), state Medicaid programs, and Third Party payors. EZ-DME is a service product of FDS, Inc. We offer a complete electronic Service Bureau using National Council for Prescription Drug Programs (NCPDP) Telecommunications Standards.

If you have a DME billing question and want to know what you can bill or what modifiers you should use, you can call our toll-free support desk and speak with our knowledgeable representatives. EZ-DME interfaces with most pharmacy software packages and can also be used via a secure Internet portal.

Service Highlights

A secure Internet site gives you information about all of your DME claims. Login with your unique user ID and password, and then work any claims that are being held for additional information such as CMNs and facility information.

  • Rental Claims - Rental claims are entered into the system once, and then are automatically billed monthly or according to capped rental logic where applicable.
  • Secondary Claims - Secondary claims that do not crossover can be automatically sent to the secondary payor once remittance information and patient IDs have been updated.
  • Rejections - Rejections from either the front end of the payor or your 835 show up in a queue with additional tips on how to fix the errors. Once fixed, these claims are resent to the payor electronically.
  • Reconciliation - Reconciliation of your DME claims is automatic when an 835 is received electronically. Manual payments can also be easily applied for a full accounting of these claims.
 
Soft Writers

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Third Party Solutions

  Pharmacy Category:
Workers' Compensation Claims Management • DME  • Third party Claim Management • Receivables Reconciliation • Workmans' Comp Claim Processing
  Third Party Solutions
Third Party Solutions Third party Reimbursement Software & Services • DME Billing  • Workers' Compensation Prescription Claim Handling

Third Party Solutions
Third Party Solutions, Inc. headquartered in Memphis, Tennessee, is the largest provider of Workers' Compensation programs in the United States. Since 1982, we have specialized in workers' compensation prescription programs and DME (Durable Medical Equipment).

Convenience
Third Party Solutions Pharmacy Network includes pharmacy chains, grocery store chains, mass merchant chains, and independent pharmacies conveniently located in every state. Whether on the road or visiting a pharmacy in your neighborhood, our pharmacy network provides convenient access to needed medications. With the support of our sophisticated real-time computer systems and highly trained call-center personnel, the online claims processing network is available 24 hours a day, 365 days a year to serve your needs.

Want to know more?
Our sales and marketing personnel will gladly provide you with information outlining the additional benefits that accompany a business partnership with Third Party Solutions.
If you are interested in making workers' compensations faster and simpler, contact us today!

3rd Party Claims Management, Prescription Insurance Claim Processing, Third Party Medical Claim Reconciliation online prescription adjudication software medication insurance claim processing workmans comp claim management workers compensation claim processing outsourcing 

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.workmans comp claim processing services workwers comp

 

PEP Systems

  Pharmacy Category:
Third Party Claims Software • Insurance Reconciliation Software
3rd Party Accounts Receivable Programs
  PEP Systems
PEP Systems Are 3rd party claim payments potentially falling through the cracks?

Does your pharmacy manually reconcile accounts receivables?

Pep Systems has the answer!

PEP Systems delivers reliable, easy-to-use software products that help independent pharmacists to:
  • Increase profits
  • Reduce payroll
  • Gain control of finances
  • Increase efficiency and sales


Insurance Reconciliation Software

  • Reads paper reconciliation advices into your existing pharmacy operating system
  • Is so familiar and easy-to-use anyone can use it
  • Gives you immediate information on paid and unpaid claims
  • Puts control of your finances back where it belongs: in your store, not in the insurer's accounting system.
  • V 1.1 release supports QS1; other pharmacy operating systems support to be released Q3

Network Tool Suite

  • Eliminates waiting for access to your pharmacy's operating system and printers
  • Allows everyone in your pharmacy to work more efficiently
  • Makes it possible for you to work efficiently anywhere, even from home
  • Lets you reduce staff while increasing sales

3rd Party Claims Management, Prescription Insurance Claim Processing, Third Party Medical Claim Reconciliation online prescription adjudication software medication insurance claim processing workmans comp claim management workers compensation claim processing outsourcing pep systems pepsystems

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.pep systems  pharmacy adjudication software prescription claims adjudicating services pep-systems

 

Electronic Billing Services, Inc.

  Pharmacy Category:
Third Party Claim Management • Receivables Reconciliation • Prescription Remittance Handling
Insurance Claims Reimbursement Services
Electronic Billing Services  
 
"Gold Star Preferred Billing Service"
EBS is a full billing and consultation service, specializing in DME/POS products.
  • Establishment of Service
    EBS will help obtain appropriate NSC numbers and regional EDI, ERN, and/or EFT agreements. We also provide personalized forms and an easy to read DME manual.
  • Training and Reimbursement Seminar
    A Medicare professional will come on site to explain coverage guidelines, documentation requirements, Medicare reimbursement, assignment and participation agreements, inventory tracking, marketing strategies, and much more.
  • Claims Submission
    EBS will file and track CMN's and provide fast, accurate claim submission. We supply monthly detailed billing reports.
  • Technical Support
    We provide ongoing training and updates as Medicare changes are made and as your business expands. A courteous, professional staff will assist you with coverage and billing questions.
  • Accounts Receivable
    We keep constant vigil over accounts, post payments, and provide monthly patient invoices and statements, plus quarterly account reports.
 

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ProviderPay

  Pharmacy Category:
Third Party Claim Management • Receivables Reconciliation • Prescription Remittance Handling • Insurance Claims Reimbursement Services
 


Third party Reimbursement Software & Services  •  3rd Party Medical Claim Remittance, Payment & Handling

IS PROVIDERPAY RIGHT FOR YOU?
  • Does delayed turn-around cause you to wait 60, 90 or even 120+ days to receive payment on your insurance claims?
  • Is it difficult, or nearly impossible, to determine the status of your submitted claims?
  • Is the claims process your least favorite part of health care?

Your time as a Health Care Provider is valuable. You want to be focusing on your patients' care; the last thing you need to do is spend that precious time on the insurance claims process. ProviderPay offers you an efficient and economical way to achieve interim funding of your insurance claims.

PROVIDERPAY IS USER-FRIENDLY

When your application for participation in the ProviderPay program is approved we will establish a Line of Credit, a Checking Account and a Reserve Account for you. These accounts will be used to distribute funds for the Claim Advances and the Claim Payments.

Submitting a claim through ProviderPay is easy.
Simply prepare the claim using your existing Practice Management Software, Then,
Electronically transmit the claim to the ProviderPay claim clearinghouse.

ProviderPay takes care of the rest!

We will subject your submitted claim to carrier-specific edits and then send the claim on to the carrier/payor. At the same time that we are sending the claim to the insurance carrier/payor, we will advance funds from your ProviderPay Line of Credit and deposit those funds into your Operating Account. You will have full use of those deposited funds within no more than 2 business days of the claim's submission!

When the Claim Remittance is received, we will process the payment and deposit it to your accounts. You will have online access to information regarding the entire history of every claim that you submit. When you need to know anything regarding the status of any claim the information is waiting for you online... it's that simple.

Shuffling paperwork is our job... Patient care is yours! Enroll in ProviderPay today and start spending more time on your patients.

 

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