Finishing the Electronic Claims process

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses the final steps in a more complete electronic claims workflow for medical practices. It focuses on general operational considerations around electronic remittance advice, electronic funds transfer, payer and clearinghouse relationships, and the practical effects on claims processing, posting, and payment handling. It is aimed at practice managers, billers, coders, and administrative staff evaluating electronic claim-related technology.

Why This Topic Matters

Understanding these workflow options helps practices reduce manual data entry, streamline payment posting, and evaluate technology choices that affect cash flow and administrative efficiency.

Article Sections

  1. Electronic remittance advice and electronic funds transfer

    Introduces two electronic payment-related workflow components and explains their role in reducing paper handling and manual effort. Covers general payer and clearinghouse considerations.

  2. Stop unnecessary Manual Data Entry

    Discusses practical considerations for receiving remittance information electronically, including access through clearinghouses or payers and software features to consider. Also addresses how electronic remittance information relates to paper-based payment reporting.

  3. Cash in the Bank

    Reviews electronic payment delivery as an alternative to paper checks and describes the operational benefits for practices. Covers general banking and payer workflow considerations.

  4. Implementing ERA and EFT technology

    Summarizes the broader practice-level value of adopting these electronic claim-related processes. Emphasizes overall workflow and administrative efficiency considerations.

What You Will Learn

  • How electronic remittance workflows fit into claims processing
  • What general operational factors to consider when evaluating payment-posting tools
  • How electronic funds transfer changes the way practices receive payments
  • Why practices may adopt more automated claims payment workflows

Who Should Read This

  • Medical practice managers
  • Medical billers
  • Coding staff
  • Revenue cycle staff
  • Administrative staff

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