ClaimRev Clearinghouse Module
From OpenEMR Project Wiki
ClaimRev Clearinghouse Module
Overview
- This module provides these features:
- Eligibility
- On the patient dashboard is an option to check eligibility for a patient. The detailed results are returned there. What comes back is payer specific but normally will include deductibles and other benefit information .
- Real-time Eligibility
- When an appointment is created, an eligibility request is sent to the clearinghouse. A detailed response is presented on the patient dashboard that lets you know if coverage is found.
- Claim Processing
- Claims can be sent from the billing manager to the clearinghouse. The module currently will download the response files of 999 and 277 and save them to the proper directories.
- Claim search screen is available with-in the module to quickly check status of claims in the processing system.
- Eligibility
