837Direct Electronic Bill Processing - HIPAA Compliant Electronic Billing System

Medical Billing Software

837Direct is a HIPAA compliant medical billing software that allows users to send any claim, anytime, anywhere.

No per claim submission charges
No software license fees
No hardware required on site, other than workstations with internet access
Integrates with existing systems to import claim data
All HIPAA 837 data elements accessible for editing
Creates Institutional and Professional files
Edit and print paper CMS 1500s, HCFA1500s, UB92s, and UB04s
Built in HIPAA, receiver, and payer level electronic billing edits
Edits and CPT4 Code Validation - OCE, CCI, MUE Edits & CPT Code validation
Direct electronic transmission for Medicare and Medicaid claims and any other eligible payers
All electronic bills archived for six years minimum

National Drug Codes(NDC)
Supports inclusion of NDC codes for pharmacy charges. Directly import NDC codes via print image.
National Provider Identifiers(NPI)
No need to maintain NPI in host system. Transmission of NPI data on claims can be managed based on payer acceptance mode (e.g. do not transmit NPI, send NPI and legacy provider #, send NPI exclusively)
Present On Admission(POA)
Directly import present on admission (POA) codes via print image. Business rules in place to handle POA requirements based on facility type.
COB(Coordination of Benefits)
Bill secondary claims electronically to all payers
277Direct
276/277 Claim status inquiry software available

Part of the MedTranDirect Electronic Claims Processing suite. MedTranDirect is the premier HIPAA compliant electronic claim system offered by MedTranDirect, Inc. All MedTranDirect products are designed to securely transmit and receive HIPAA ANSI X12N formatted data with government (Medicare & Medicaid) and commercial payers.