Oct 2006

ELECTRONIC CLAIMS TO MEDICARE, MEDI-CAL AND PRIVATE INSURANCE CHOICES: 

 

Zybex EDI Service Order Form  use this form to fax to client.

Clients can choose from

  1. "Per Provider"
         or
  2. "Per Claim" .

 

OPTION 1: PER PROVIDER PRICING (no per claim fee)

ECS Claim Clearinghouse Service- Commercial Only

There is no "PER CLAIM" charge for electronic claims if paying "per provider"

Per Provider

Monthly Fee

(non C.Maint)

Per Provider

Monthly Fee

(Comprehen.Maint Client)

Commercial Carriers (Aetna, Cigna, Etc)   First Provider

$60

$50

Additional Provider

$30

$25

Each Special Payers (SCMG, SDPMG, DMERC)

$20

($75 max)

$15

($60 max)

 

 

 

ECS Claim Clearinghouse Service- All Payors

 

 

All Payors  (Commercial and Medicare, MediCaid) First Provider

$90

$80

Additional Providers

$60

$50

 

 

 

Setup Charge- Claims Clearinghouse

$250

$200

Additional Providers- Setup Charge

$  50

$ 40

 

OR CHOOSE BELOW "PER ELECTRONIC CLAIM" PRICING

 

OPTION 2: "PER CLAIM" PRICING (no mo. provider fee)

ECS Claim Clearinghouse Service- Commercial Only

There is no "MONTHLY PER PROVIDER" charge for electronic claims if paying "per electronic claim"

Per ECS Claim Fee

Commercial Carriers (Aetna, Cigna, Etc) 

$0.35

 

 

ECS Claim Clearinghouse Service- All Payors

 

All Payors  (Commercial and Medicare, MediCaid)

$0.25

 

 

Setup Charge- Claims Clearinghouse (No Maint/C.Maint Price)

$250/$200

Additional Providers- Setup Charge(No Maint/C.Maint Price)

$  50/$40

 

OTHER OPTIONS AND SERVICES AVAILABLE

 

ONE TIME 'PURCHASE" MEDICARE NEW SOFTWARE & SETUP  (This does not apply for clients submitting Medicare through clearinghouse options above, only for those that wish to submit direct).

Non C.Maint

Comp.Maint

Medicare New Software- ANSI-837 Format (Oct. 2002)

$900

INCLUDED

 

 

Printing Services

Fee per Statement

Patient Statements, includes outgoing and return envelopes, 1st class postage

(Custom Forms require additional fees- Request quote)

 

$.59 1-499 stmts.

$.58   501-3000 stmts, 

$.56  3000+;

$.20  ea add’l sheet

Statement Form Setup Charge

$200

 

 

EOB Remittance Posting Service

Per Provider

Monthly Fee

Medicare- 1st Provider

$80 1st provider

MediCaid- 1st Provider

$80 1st provider

Commercial-  1st Provider (Only if available)

$80 1st provider

Additional Providers/Each Service

$40 add’l prov

Each Special Payors per Provider (Aetna, BS, BC, UH, etc)

$15 ($60 max)

(Purchase Alternative: $300 per provider and $20/& $10 per monthly maintenance 1st provider/addnl. providers

 

 

 

Browsable  Reports, Close, Compress

Monthly Fee

 

 

1: Close Patient Accounts to a Browsable CD Rom  *

2: Compress Patient Activity to a Browsable CD Rom  *

Per run

$300 1st Provider

$50 ea additional