Practice Insight Clearinghouse

Practice Insight Clearinghouse is a preferred electronic transaction provider for NowMD

EDIinsight.® Technology So Fast and Stable, You’ll Never Notice It.

Physician practices need to care for patients, not become computer experts. Practice Insight® understands that, and designed EDIinsight to provide fast, reliable EDI and complete revenue cycle management without requiring an in-house IT staff.

EDIinsight uses a SaaS (Internet-based) system architecture that lets Practice Insight maintain and update the program which minimizes the need for customers to perform frequent upgrades or maintenance.

EDIinsight desktop client (ThinWin) software runs on Windows computers.

The user connects securely using 128-bit SSL encryption technology to Practice Insight database servers located in a secure, hardened data center facility.

Initial installation is simple. The EDIinsight software is distributed as an auto-install program, easily installed by the individual user via a few mouse clicks. All business logic and data resides on the servers within a secure data center.

ERA Denial Manager

Tracks denied payments and payments for less than the provider’s contracted rate. An appeal letter can be printed from the Practice Insight software that contains claim details and your reason for appeal.

Clinical Claim Scrubbing

Clean up your coding with our Clinical Claim Scrubber and significantly decrease rejections and denials; realize more accurate, optimal reimbursement and reduce AR days.

Other features include:

  • Medical Necessity Edits
  • Procedure and diagnosis codes are updated annually (For edits driven by date of service, older codes are maintained in the system for dates of service prior to the change.)

Service and Support

Get Practice Insight support directly from NowMD or a NowMD dealer. The same company supports your electronic healthcare transactions and medical billing software.

Enrollment, Testing and Production

NowMD staff takes you every step of the way from EDI enrollment through test claim submission and into production.

Automatic Secondary Insurance Claim Submission

When the electronic remittance advice from the primary carrier is received by the clearinghouse, a claim for the secondary insurance carrier can automatically be sent. In most cases submit one claim and receive two payments!

Works Great with NowMD

NowMD includes a customized electronic claims module designed just for Practice Insight. After a claim batch is created NowMD logs into Practice Insight’s system and securely sends your claims and eligibility requests. When you access Practice Insight’s software your claims are waiting for you to review and process. Eligibility information comes back into NowMD and is stored for future reference.

Services Offered with NowMD:

  • Eligibility and Benefits Inquiries
  • Processing of Claims for Professional Services.
  • Electronic EOBs
  • Plus additional services

Prices

Choose a bundle if you are a healthcare practice or per-transaction pricing if you are a billing service:

Practice Insight Bundle – $119 per provider per month

  • Professional claims
  • ERA Remits
  • Eligibility
  • Add $30 per month for printed claims

Practice Insight Better Bundle – $169 per provider per month

  • Professional claims
  • ERA Remits
  • Eligibility
  • Add $30 per month for printed claims
  • Clinical Claim Scrubbing

Practice Insight BEST Bundle – $199 per provider per month

  • Professional claims
  • ERA Remits
  • Eligibility
  • Add $30 per month for printed claims
  • ERA Denial Manager
  • Clinical Claim Scrubbing

Per-Transaction Services for billing services

  • Professional Claims – $.39 per claim
  • Work Comp/Auto Medical claims- $.99 per claim
  • Electronic Remittance Advice – $.39 per claim
  • Standard eligibility – $.39 (plus pass-thru fee)
  • Paper Claim Printing – $.79 per claim
  • ERA Denial Manager – (Requires electronic remittances) – $.25 per claim
  • Clinical Claim Scrubbing – $.35 per claim

Payer List

Click to go to the Practice Insight Payer list at http://www.practiceinsight.net/payers/payer-list

Contact NowMD or a NowMD Dealer for information on Practice Insight services

On the Telephone: (800) 329-3209
By Email: sales@nowmd.com

Practice Insight software is a standard feature in NowMD.
Clearinghouse fees are additional.