We use EZclaim and had no issues with Clearinghouse until the NPI update and we changed Clearinghouse. It was painful to get through all of the errors. It was conferencing with our clearinghouse, Navicure, and EZclaim and sometimes also Amazing Charts. I have to say that AC usually took responsibility and conferenced with EZclaim even when it was not their issue.
There are lots of errors and problems with the AC import and we use the Simple Text file because the EZclaim file simply does not work.
We have noted that when we make changes in Demographics, it does not occur in EZclaim, so we have to change it manually, including changes in insurance carrier. We have noted the name transposition in the insured area on EZclaim but it does not produce an error at the Clearinghouse nor denials of payment. I have noted that the ICD9 codes are not updated when they are updated in Amazing Charts prior to exporting to EZclaim creating a lot of potential errors.
And the biggest problems have been that the Medicaid and their CMO's require certain codes for healthchecks that are unique to Georgia and it has been a challenge to be able to get this right. This is where the Navicure has been very helpful in finding solutions to the problems, i.e., they will call Medicaid and EZclaim to determine why the information transmitted is not received and what format Medicaid wants to receive it and if EZclaim cannot resolve the issue, Navicure will forward it in a manner that is acceptable. I highly recommend Navicure as a Clearinghouse.
The other problem that is annoying with EZclaim is that there are so many default values that you cannot choose globally but need to choose per patient or per claim. It is time consuming.
On the positive note, it is a very flexible program and you can manipulate a lot of information without paying extra custom fees.
I am willing to try something new and go with AC billing service. Has anyone tried this option? Sounds easy.
