An eClaim is simply an invoice that is sent to the medical aid
electronically (i.e. not on paper). And who better to develop such
functionality than Datamax? Our decades of experience in both medical
billing software development and eClaims switching resulted in a solution that
is both powerful and easy to use.
Prior to designing Panacea 7 we examined the different ways in which eClaims are
handled by various packages, including Panacea 6. We quickly realized that
the process that the user has to follow is often cumbersome and time consuming.
For example, many packages force you to print a report before eClaims can be
sent. Often the user is required to wait while a "send & receive" is
performed, and then check for rejected claims. This all seems ludicrous!
In Panacea 7 we have removed all the unnecessary steps. All you really
have to do is confirm that the details of an eClaim are correct, then click
Send.
We have also designed Panacea to perform many of the above functions in the
background, allowing you to continue with your work.
It is also unnecessary to check for rejected claims; Panacea will notify
you of any problems that require your attention. Click
here
to see how Panacea communicates with you.
In Panacea 7 eClaims can be sent immediately (in realtime)
or can be accumulated into a batch and sent at the end of the day. There
is currently no difference in cost between realtime and batched claims.
Reversal of eClaims The "immediate" nature of Panacea's eClaims has many obvious benefits, but what if you make a mistake? For example, what if you captured the wrong code on the eClaim you just sent? No problem. Simply reverse the eClaim! Most eClaims can be reversed with just a few clicks, saving you having to spend hours on the phone to the medical aid.
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