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AI?
by Bert - 06/25/2025 7:52 AM
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Posts: 141
Joined: February 2014
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Joined: Dec 2006
Posts: 237 Likes: 1
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Joined: Dec 2006
Posts: 237 Likes: 1 |
Any help in getting around the clearing houses would be great. That's around $2000 a year for us. I was really pissed when I found out that all the standardization set by HIPAA was essentially worthless. I managed to submit claims directly to BCBS and Medicare for all of 2 years before the PM software dropped direct submission. That could be a deal maker for me. Of course, not a peep from a any of our societies -AMA, AAFP - anyone about trying to enforce better standardization so that a PM software could actually create a claim that could work at any insurance company.
Kevin Miller, MD
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Joined: Feb 2011
Posts: 679 Likes: 1
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Joined: Feb 2011
Posts: 679 Likes: 1 |
I recently began using the Office Ally clearinghouse and it is GREAT. FREE for all commercial carriers. Flat fee of $19.95 per month if more than 50% of your claims are governmental. I enrolled and was submitting claims in 2 days. It was easy to set up, they logged in to set it up with our PM software. Nothing to install on your system, it is web based. If your PM software can print a claim, you can use OA. They extract a text file, then convert it to the 837 format to go to the insurers. Send all of your claims in one action versus individually to insurers.
A la Wendell, did I say it was FREE?
Donna
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Joined: Feb 2005
Posts: 2,002
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Joined: Feb 2005
Posts: 2,002 |
Donna, I used OA also and found it to be fantastic.
Leslie Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
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Joined: Feb 2011
Posts: 679 Likes: 1
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Joined: Feb 2011
Posts: 679 Likes: 1 |
Of course, Leslie, you were ahead of me in all things AC/office, my twin! 
Donna
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Joined: Feb 2005
Posts: 2,002
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Joined: Feb 2005
Posts: 2,002 |
Oh no, no....I learned an enormous number of things from you! But I do think we would have made a great team in practice. Many of the same philosophies.
Leslie Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
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Joined: Feb 2011
Posts: 679 Likes: 1
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Joined: Feb 2011
Posts: 679 Likes: 1 |
And, it would have been so much FUN! Too bad we are not in the same geography.
Donna
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1 members (soloblue),
81
guests, and
27
robots. |
Key:
Admin,
Global Mod,
Mod
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