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ANSI 837 Professional Billing with EZClaim's Direct Billing Module

ANSI 837 Professional Electronic Billing Package Details

EZClaim software can send electronic claims directly (not through a clearinghouse) to all payers or processors that accept claims using the ANSI 837 Professional format.  This includes:

  • Medicare
  • Medicaid
  • Blue Cross/Blue Shield
  • THIN - Texas Health Information Network
  • Medi-Cal
  • DMERC Region A - NHIC
  • DMERC Region B - AdminaStar Federal
  • DMERC Region C - Palmetto
  • DMERC Region D - Noridian
  • All other payers or processors that accept claims using the ANSI 837 Professional format.

Although the optional Direct Billing Module allows for submitting directly to a large number of insurance companies, it is important to be aware that most commercial insurance companies, Ex: Aetna, Humana, do not accept Direct electronic submission. You, as the provider, need to contact the insurance company to ask if they accept Direct electronic submission. 

It is our recommendation that a provider have knowledge of medical billing before considering direct submission. We also suggest purchasing our EZClaim support contract.

For help with direct electronic billing, see the Help Documents page to review the EDI documentation. 

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