Electronic Transactions

NowMD supports the latest technology requirements for ANSI 5010 Professional Claims (837P) and Electronic Remittance Advice (835) transactions. Specialized electronic claim data is offered for these practice types, healthcare services and billing requirements:

  • Professional medical claims (fee for service)
  • Pregnancy – OBGYN
  • Anesthesia
  • Ambulance
  • Optical/Vision
  • Chiropractic
  • Medicare
  • Medicaid
  • Family planning
  • Physician-administered drug therapy with NDC (National Drug Code) codes

Create and View 837P Billing Files

NowMD’s electronic billing files are designed for acceptance by all insurance carriers and electronic claims clearinghouses. Billing files are checked as they are created to be sure they contain data required by the ANSI 5010 specification. These basic edits can help prevent claim rejections before they are even sent!

NowMD’s ANSI viewer lets you review claim file data to assist with troubleshooting. Data in ANSI loops, segments and elements along with the labels for these locations are displayed for review.

Easy-To-Use Claim Creation Wizard

NowMD’s Prepare Electronic Claims wizard guides you through each step of the electronic claims creation and transmittal process.

claimwizard

  • Select the EDI Trading Partner who will receive the claims
  • Create the claim batch
  • View warnings generated by missing or incorrect information in the batch (correct claim data or move on to the next step if there are no warnings)
  • Print or view the pre-billing report
  • Send the claim batch to Availity RCM, Practice Insight, or save the batch to a file for other clearinghouses or insurance carriers

Availity RCM Clearinghouse

NowMD integrates with the Availity RCM Clearinghouse for claims and electronic remittance. Software to create and send claims to Availity RCM and post payments from electronic remittance files is included with NowMD at no additional charge.

Practice Insight Clearinghouse

NowMD integrates with the Practice Insight Clearinghouse for eligibility and benefits, claims, electronic remittance and more. Software to create and send claims to Practice Insight and post payments from electronic remittance files is included with NowMD at no additional charge.

Universal 837 Claims

A Universal ANSI 5010 837P module is available for use in creating claim files for other receivers. Claim files are created to exact ANSI 5010 requirements for use with other clearinghouses and for submission directly to insurance carriers.

Universal 835 Remittance Advice Posting

NowMD can automatically post payments and adjustments for electronic claims sent through the Availity RCM, Practice Insight or Universal 837 claims modules.

Availity RCM and Practice Insight software are standard features in NowMD.
Clearinghouse fees are additional.
Universal 837 claims is an add-on feature.