Adjudicate claim settlements for Medicaid, Medicare, Tri-Care, Workers Compensation, Veteran Administration, or commercial and private major medical payers. Implement contracted fee schedules according to individual practice or group association. Reimbursement allowance may be provided on several payment allocations including The Usual Reasonable Customary Charge, Resource Based Relative Value Scale, Diagnostic Related Grouping, Ambulatory Payment Classification, or Per Diem rates. Updates and specifications are routinely improvised into our system reflecting changes to The International Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT) coding structure.

Industry professionals are provided with an automated prospective payment system capable of addressing all remunerative functions propositioned in healthcare revenue management. Users will have the capacity to eliminate manual entry of carbon copy paper forms and begin submitting HCFA-1500 or UB92 claims electronically through complete automation. Registration within The Medical Intelligence Community is required to utilize service. To register as an associate member and login please click here.