EZClaim Electronic Billing Service FAQ

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What does my office need to be able to send electronic claims to a clearinghouse?

Your office will need internet access, an email address, and our EZClaim Advanced Clearinghouse package.

Can all specialties submit their claims using the EZClaim Clearinghouse service?

Yes. EZClaim has customers from all specialties submitting claims electronically using the EZClaim clearinghouse service.

Will EZClaim assist our office with the Clearinghouse Enrollment process?

Yes. Our EZClaim staff will guide you through the enrollment process. Our packages include instructions and training for completing sample claims, provider enrollment, clearinghouse documentation.

How do I know if a specific insurance company is on the Payer List?

A Payer List is available on the EZClaim web site at ezclaim.com > Electronic Billing > Clearinghouse Support.

How long does it take to enroll?

The enrollment period can vary depending upon the time your office has available to complete the steps required.

After our office is enrolled with the clearinghouse when could we begin sending claims electronically?

Once you have obtained a clearinghouse client ID number you may begin sending your commercial claims. Some insurance companies, such as Blue Cross/Blue Shield, Medicare, or Medicaid require carrier agreements which may take longer depending on the Payer.

May I include secondary insurance information on claims submitted electronically?

Secondary insurance may be submitted to those payers who accept secondary claims such as Medicare, Blue Cross and Medicaid. EZClaim is also able to submit MSP claims.

Some insurance companies do not have a Payer ID number listed on the Payer ID List. Can I still submit those claims electronically?

Contact EZClaim regarding those payers. If the Payer does not have a MedAvant payer ID, those claims may still be submitted electronically and will be mailed to the insurance carrier by the clearinghouse. Paper claims are $.49 per. (Flat Fee EDI pricing includes paper claims)

What happens after I send my claims to the clearinghouse?

Payer and Audit reports will also be available within 1-2 days.

Will I be able to resubmit claims that have been rejected by the Clearinghouse or Payer?

Yes, you will need to correct them in EZClaim and resubmit them to the clearinghouse. Claims rejecting at the Clearinghouse level will not be charged.

How long does program support last after we purchase the EZClaim Clearinghouse Service?

Program support is available as long as you are using the EZClaim clearinghouse service.


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