In partnership with our friends at Bushido Billing, we’ve created a handy checklist for when you’re switching clearinghouses— like, say, from your current clearinghouse to Claim.MD in order to enjoy Jane’s insurance billing integration. 😉 Let’s dive in!
✍️ If you’d like to print off this checklist to keep on your desk, you can download the PDF version.
📺 You can also watch the 20-minute session we hosted with Sara from Bushido Billing on youtube.
Step 1: Sign up with Claim.MD
- You can take a look at Claim.MD’s subscription plans here, and if you have any questions, you can schedule a demo with the Claim.MD team.
- Once you’re ready, you can sign up here.
- Don’t forget to indicate that Jane is your vendor to receive 10% off your monthly subscription.
⚠️ Hang on to your current clearinghouse during this transition
There’s often a short transition period while insurer enrolments are finalized. Some insurers need to receive a claim before they can fully complete the process, which can take anywhere from 5 to 30 days. During this time, you may see responses flow into both Claim.MD and your previous clearinghouse. We recommend keeping access to your current clearinghouse until you’ve confirmed that all enrolments are complete and claims are processing smoothly in Claim.MD.
Step 2: Start the enrolment process
- Check that all of your business information is up-to-date
-
Head to Manage Account > Prov. Enrolment in your Claim.MD account, where you’ll see that the enrolment process has been started for you! Many can be completed with a single click.
- 🔥Tip: Even with this pre-populated in Claim.MD, it might be helpful to create your own checklist to work from. You can use Claim.MD’s payer list to double-check the enrolment requirements for EDI, ERA, and Eligibility for all insurers you submit to.
- Complete each enrolment based on how you are credentialed with each individual insurance company.
- Most enrolment approvals will automatically be applied, but for some insurers, you may need to contact Claim.MD directly to have them added. Each enrolment application in Claim.MD will include info on the way you should expect to hear back about the approval.
Step 3: Start using Claim.MD
- Once all your approvals have been handled & confirmed, you can start billing with Jane and Claim.MD!
Optional: Medicare
If you submit claims to Medicare, you may need to look out for a couple of additional things:
- Your Medicare Administrative Contractor (MAC) is often unique to the state you practice in— follow the enrolment guide for your state & MAC provider, as found on your MAC provider’s website:
- Depending on your MAC provider, you may need to create a login from Medicare’s website & portal, complete a form, or do both. Details can be found using the above links.
Additional Notes
How do I fix the “Payer ID is invalid” error message?
The Payer ID is a unique identifier for insurers used in electronic claims submissions. If you encounter an issue with an invalid Payer ID, you can verify the correct number for your Clearinghouse.
- For Claim.MD, check here https://www.claim.md/payer-list
- For Office Ally, check here https://cms.officeally.com/payerlist
- For Trizetto, you can log in to your Trizetto account: https://www.trizettoprovider.com/Resources/Payer-List
- For Availity, you’ll want to login to your Availity account: https://www.availity.com/edi-clearinghouse/
If you have any questions, feel free to reach out to Jane’s support team or the Jane US Billing Community on Facebook, where professionals like Sara from Bushido Billing are more than happy to give you a hand! 😁
If you’d like to learn more about Sara and Bushido Billing, you can schedule a call by visiting www.bushidobilling.com or emailing [email protected]