Simplify Insurance Billing with Claim.MD Integration

March 09, 2024

Having a successful health and wellness practice relies on efficient systems. While you may have been trying to “do it all” in the early stages of your business, we all know that’s not sustainable. It’s important to have tools to reduce the complexity and time spent on your admin tasks, like billing insurance companies.

Have you thought about how to integrate insurance with your Electronic Health Record (EHR) systems? Say hello to our latest integration to make your job easier: Claim.MD.

Claim.MD helps practitioners who bill insurance submit their claims and check their status with ease. In this article, we will detail all that Claim.MD has to offer your practice and how to incorporate it into Practice Better to reduce the complexity of the insurance claims process.

Add the Claim.MD integration

Understanding insurance integration

Integrating insurance billing into your EHR simplifies your billing processes, facilitating efficient claims management and reducing your administrative work. 

Consolidating insurance data within EHR systems can enhance accuracy, streamline workflows, and improve the overall running of your practice. In other words, it allows you to spend less time dealing with billing tasks and more time on what you care about most: helping your patients and clients. 

Furthermore, real-time eligibility verification and claims processing ensure that practitioners and patients receive accurate coverage information at the point of care, reducing billing errors and denials. By verifying insurance eligibility in real-time, healthcare providers can confirm coverage details, facilitating informed decision-making regarding treatments and services. 

Furthermore, real-time claims processing leads to improved cash flow and less overwhelm for healthcare practitioners. 

Benefits of insurance integration

If your interest has been piqued so far, let’s dive deeper into some of the benefits of insurance integration as part of your health and wellness practice. 

Improved billing efficiency

Insurance integration enhances billing efficiency by minimizing human entry errors and ensuring accurate patient insurance information is captured and updated. 

This feature helps speed up claims submission by streamlining administrative tasks and reducing the likelihood of claim denials or delays. Ultimately, this also leads to faster reimbursement for you. 

It can also help you balance your books and allocate resources more effectively.

Enhanced revenue cycle management

Insurance integration helps improve your earnings by helping you keep your claims and your billing organized. 

Additionally, it helps make sure your claims submissions are accurate through automated data capture and validation. This leads to higher acceptance rates by insurance payers and minimizes the risk of claim denials or rejections. 

Overall, insurance integration helps with payment collection, improves financial flow to your business, and allows you to allocate resources more efficiently.

Streamlined experience for all

Insurance integration helps verify your patient’s insurance coverage, reducing wait times and administrative hassles when you begin their care. 

This also minimizes confusion regarding out-of-pocket costs by providing patients with accurate information upfront, enhancing transparency and trust in the healthcare billing process. 

As a result, patients can focus on their care without trying to figure out financial concerns. This leads to improved satisfaction and a better ability to engage with you to get the help they need.

Time and cost savings

Insurance integration offers significant time and cost savings. It reduces the administrative workload through automated data capture and billing processes within your EHR. 

This translates to a reduced number of resources spent on chasing claims and correcting errors. When insurance integration streamlines claim submission and processing, it leads to fewer rejections or denials. 

Again, this lets you focus on patient care.

About clearinghouse Claim.MD

With Claim.MD integrated, you can now manage every step of the insurance process from your Practice Better account. 

This includes tasks like running eligibility checks, submitting claims, tracking claim statuses, automatically receiving ERAs, and even invoicing clients for unpaid portions of their bills.

Claim.MD offers transparent and affordable plans to practitioners with no hidden costs. They also offer a breadth of payers in their network. Along with an intuitive and easy-to-navigate platform, Claim.MD is also committed to providing its customers with the support they need.

Using the Claim.MD insurance integration

The Claim.MD insurance integration exists to make the process of submitting and tracking insurance claims easier for practitioners like you, so here’s how you use this Practice Better feature.

Integrating Claim.MD and Practice Better

Now that you know all the ways Claim.MD can help you streamline this aspect of your business, let’s talk about how to integrate it with Practice Better.

Step 1: Sign up for Claim.MD

The first thing you need to do to use Claim.MD is to register for it. There are three plans you can choose from, which vary in price from $25, $50, or $100 per month.

Step 2: Set up 

Next, you’ll add users to your Claim.MD account. If you get stuck or have questions, refer to this Provider Enrollment guide or book a Webinar with Claim.MD for help.

Step 3: Enroll with payers in Claim.MD

The payers in this step refer to the insurance companies you’re working with. Before completing your enrollment, you must be credentialed with a payer. Note that this step can take roughly 5-30 days, depending on which insurers you bill.

Step 4: Integrate

Finally, you will need to obtain the API key from Claim.MD and enter it into your Practice Better account to complete your integration.  

Choose the insurance integration under the Integrations section of Practice Better, and select Link under Claim.MD.
Link your Claim.MD account by entering the API key in Practice Better.

Getting credentialed

Credentialing is the process by which insurance companies evaluate and verify a healthcare provider’s qualifications, including their education, training, licensure, and certifications.

To get credentialed, you must follow these steps: 

  • Obtain an NPI (National Provider Identifier or a Unique Identifier) and make sure you have professional liability insurance
  • Complete a CAQH (Council for Affordable Quality Healthcare) which collects all the info required by insurance companies. Note that this is a time-consuming step as the application is 50 pages long.
  • Apply to insurance companies directly. Be prepared that this is a very tedious process and some people prefer to hire a billing professional to do this part. 

Upon completion of these steps, you will be credentialed and ready to move on.

Billing insurance with Claim.MD

Finally, it’s important to understand how to bill your insurance providers using Claim.MD. Here are some easy steps to walk you through this process.

Step 1: Collect client information

Before you can bill insurance, you’ll need to make sure you have your client information ready. Make sure that your client information and documentation are correct in your client records. This will save tons of time in the future and prevent mistakes.

Step 2: Add CPT Ccdes

Add procedure codes to all your services. This way, you have them ready and prepared when you need them for billing.

Step 3: Submit a claim in Practice Better 

Before you can bill your insurance providers with Claim.MD, you’ll need to create and submit a claim in Practice Better. You can do this as individual claims or as a batch claim submission. 

Step 4: Check your claim’s status

The claims you’ve submitted in Practice Better will each be assigned a status. This could be “submitted”, which means it’s awaiting approval from Claim.MD, “paid”, which means it could be paid partially or in full, or “rejected”, which means there was a problem with it. 

Showing claim status in Practice Better with the Claim.MD insurance integration.

Each claim can be opened up to view further details about it, including message history (where you can see why something may have been rejected by Claim.MD). 

Note: you can still use our Office Ally integration to generate, export, and submit CMS 1500 forms.

Get started with Claim.MD to bill insurance quickly and easily

Insurance integration into your health and wellness practice management software is an easy way to help you stay organized and focused on your patient care. It also creates a simpler, more efficient process for your clients. 

If you’ve been looking for ways to improve your efficiency, boost revenue, and enhance your patient satisfaction, integrate Claim.MD with Practice Better is a great way to do that. 

Ready to get started? Add the integration.

Practice Better is the complete practice management platform for wellness professionals. Streamline your practice and begin your 14-day free trial today.

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