OrbitEMRx has an integrated Billing & Insurance module to automate the Insurance Claim filing, payment posting and managing clinical financial information. Transmission of Insurance Claims to payers/clearing house is possible in just four easy steps. In most cases it requires only four mouse clicks to send claims electronically to the payers

Features

Standards

1. Conforms to ASC X12 837 Professional EDI standard
2. Conforms to ASC X12 997 Acknowledgment EDI Standard
3. Conforms to ASC X12 835 Electronic Remittance Advice to automate Payment Posting
4. Complies with HIPAA requirements

Coding

1. Support of ICD-9 and CPT-4 codes for billing and insurance
2. Auto E/M calculation based on encounter entries and consultation time
3. Supports Procedure Modifiers
4. Automatically Populated Fees from a CPT-Fees lookup table

Efficient Workflow

1. Being an integral part of the OrbitEMR, billing module automatically fetches data from other modules to prepare bills. This minimizes data entry and, hence, coding error.
2. Built-in mechanism allows to track missed/delayed payments easily.
3. Highly visible workflow across the clinic. It can be configured to send automated emails to physicians informing the number of claims filed, claims pending, claims paid, and how many have been rejected. Emails can be configured to be delivered to physician's email, PDAs and cell phones.

Security

1. Encrypted transmission over Secure Socket Layer (SSL )to protect clinical data
2. Role based access allows users with appropriate authority to view/edit only those portions of billing related data which they are authorized to.
3. Maintains Audit Trail

Graphs

Trends and projections in graphical format

1. Financial performance by clinics
2. Revenue generated by physicians
3. Revenue from various sources
4. Financial contribution by Insurance companies