How does ClaimMaster interface with my system and perform its task?

Step 1:ClaimMaster sits subservient to the providers existing PMS/HIS, it transfers the patient demographics and basic billing information from the PMS/HIS onto the billing form.

Step 2: Once the information is transferred, it scrubs the claim for technical errors.

Step 3: Errors are identified and the billing staff reviews and addresses these identified error(s) and corrects with the assistance of the built-in payer edits and help-prompts of the ClaimMaster Program. Producing only valid claims. Invalid claims reside in the PC of the billing staff until corrected.

Step 4: All valid claims are transferred to CareMaster electronically to be forwarded to the payer either electronically or via paper form.

Step 5: A response from CareMaster notifies provider of receipt and claims are numbered and tracked to assure no claims are lost.

Step 6: If payers return a claim for a patient demographic error, the claim is returned for correct patient data, at no charge to provider. If the claim is returned regarding technical edit changes, CareMaster takes this responsibility and addresses the issue until a solution is found, without returning the bill to the provider.

Step 7: Any payer edit that is identified, is programmed into the ClaimMaster software and downloaded into the provider system at the next connection to CareMaster.

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