đ¸ Jane users get a 10% discount on their monthly Claim.MD subscription cost!
Not signed up with Claim.MD yet? Learn more about how to get started.
With Integrated Claims, you can connect your Claim.MD account to do the followingâŚ
- Submit claims (837)
- View claim acknowledgements and manage rejections (277)
- Receive insurer remittances (835)
âŚall right inside your Jane account!
Weâve been making some updates to make insurance billing simpler. Check out whatâs new and see how our Claim.MD integration can help you manage your entire revenue cycle in Jane.
Hereâs what youâll find in this guide:
- How to connect Claim.MD with Jane for claim submissions
- Submitting claims
- Claim acknowledgements and managing rejections
- Receiving insurer remittances
- Billing Community
- FAQs
- Watch the webinar
How to connect Claim.MD with Jane for claim submissions
In your Claim.MD account
Before connecting your Claim.MD account with Jane, youâll need to log in to Claim.MD and adjust a couple of settings. Choose Settings from the list on the left and then click the Account Settings tab at the top of the page.
Start by setting the SFTP Active field to Yes.
âźď¸Â While on this screen, note down your SFTP Username and Password. The password is only visible once in Claim.MD, so be sure to note down your password before leaving this page.
Some other key settings to check:
- Claim Status Format should be 277
- Receive ERA/835 should be 835
- Transmit Approval Required should be unchecked (if itâs on, youâll have to log in to Claim.MD to approve all claims submitted through the integration)
These settings will ensure that Jane automatically sends claims to Claim.MD and that Claim.MD automatically sends claim acknowledgments (like Rejections) and ERAs back to Jane.
Last but not least, look for your Vendor Settings and check that you can see Jane listed as a Vendor. If you donât see Jane listed, youâll want to reach out to Claim.MD to let them know. Without this, they wonât know to apply the discount.
In your Jane account
Now that you have your Claim.MD SFTP username and password, you can connect your Claim.MD account with Jane in Settings > Integrations > Clearinghouse.
Next, enter your Claim.MD SFTP username and SFTP password â the username and password that you noted down when enabling SFTP in your Claim.MD account.
Note that your SFTP login credentials are different than the username and password you use to login to your Claim.MD account.
And thatâs all! Youâre ready to start billing through Integrated Claims with Claim.MD!
Submitting Claims
If youâve been submitting claims electronically through Jane, this will feel pretty familiar (minus a few steps đ).
After selecting a batch of claims, simply click the Submit button in the submission preview. When you press this button, Jane will generate a batch submission and automatically send it to your Claim.MD account.
Your claims will appear in your Claim.MD within 10 minutes of generating a submission.
Once youâve submitted your claims, theyâll sit in the Submitted folder awaiting claim acknowledgements from Claim.MD and insurance companies.
Claim acknowledgements and managing rejections
Letâs start with what claim acknowledgements are, and why theyâre important in the billing process.
Clearinghouses and insurers send claim acknowledgements to let you know they have received your claims. A claim acknowledgement confirms whether a claim has made it through to the next billing âstageâ (i.e. adjudication by the payer), or if you need to fix your claim and resubmit (i.e. a rejection for invalid information).
In Jane, claim acknowledgements are displayed in the Claim Summary panel, which can be accessed when viewing a claim in your claim submission folders.
If a claim gets rejected by Claim.MD or the insurance company, Jane will automatically move it to the Rejected folder.
From there, you can view the rejection reason in the claim summary panel. You can click the toggle to see the detailed rejection reason.
Once you address the rejection reason, you can mark the claim as unsubmitted in Jane, and resubmit it through the integration.
Receiving insurer remittances
Jane checks for new electronic remittances (835) in your Claim.MD account every few hours.
When youâve been sent a new ERA, Claim.MD will automatically upload it to your Jane account so you can post the payment. If youâre new to posting ERA payments in Jane, check out this handy guide.
The âcountâ next to your Remittances folder (Billing > Remittances) keeps track of all ERAs that need your attention. When that count begins to climb, youâll know youâre receiving new ERAs through the integration!
Billing Community
Janeâs US Billing Community is for our current customers and has members with lots of experience with our Integrated Claims with Claim.MD.𤊠Even better? Youâll have access to third-party billers who can help answer questions, provide tips, best practices, and more. đ
FAQs
âď¸Can I connect one Claim.MD account to multiple Jane accounts? Or multiple Claim.MD accounts to one Jane account?
No, right now you can only connect one Jane account with one Claim.MD account. Trying to connect a single Claim.MD account to multiple Jane accounts will result in all of the ERAs from the Claim.MD account being sent to all connected accounts, which could be a HIPAA violation.
âď¸Will Jane upload ERAs that were uploaded to my Claim.MD before I set up my integration?
When you connect your Claim.MD account with Jane, Claim.MD will automatically send all new remits to your Jane account. That said, any remittance that you received before you set up your integration will not be sent to your Jane account.
If you have any old remittances in Claim.MD that arenât in Jane yet, head to the View ERA section of Claim.MD, select those old ERAs, and select the Send to SFTP Server option.
Donât worry if you accidentally select an ERA thatâs already in your Jane account. Jane will catch and ignore any duplicates!
âď¸How often does Jane check for new electronic remittances (835)? How long does it take Jane to send Claims to Claim.MD?
Jane checks for new electronic remittances (835) in your Claim.MD account every few hours. That means that you could see a new remittance within your Claim.MD account that hasnât yet been uploaded to Jane. But if that happens, thereâs no need to worry! Jane will upload that remittance in the next few hours.
Once you submit a batch of claims, Jane will upload them to Claim.MD within 10 minutes.
âď¸How can I tell if an ERA in my Claim.MD account has been uploaded to Jane?
If youâre unsure if an ERA has been uploaded to Jane, you can head to the View ERA section of your Claim.MD account and look for the STFP Download icon. If you see the icon (shown in the screenshot below), that means the ERA has already been uploaded to your Jane account.
âď¸If I fix & submit a rejected claim in Claim.MD, do I need to manually update that claim in Jane too?
If you fix the rejection directly in Claim.MD, all you need to do is give Jane a little time, and the claim will đŞautomagicallyđŞ move from the Rejected folder to the Submitted folder.
Behind the scenes, Claim.MD will send a âsuccessfulâ claim acknowledgement to Jane. When Jane sees that, we bump the claim over to Submitted. It can take an hour or so after fixing the rejection for this to happen, so if youâre impatient (or just really want to see that updated right away!), you can manually move that claim to the Submitted folder.
âď¸Am I able to submit and process Workers Comp Claims with the Claim.MD integration?
Yes, as long as the payer has an Electronic Payer ID. Youâll want to ensure to check the Transmit Approval Required to attach treatment notes to these claims.
This setting will hold claims so you can head over to Claim.MD and attach any relevant and required documentation. Next, had over to Manage Claims within the left sidebar menu. Those claims will now be listed as Pending Approval, and youâll want to click on the View Claim button to the right.
From here, you can click on the claim youâll be able to click on the blue Attach Documents text at the top of the page.
Lastly, click on the Save Claim button in the top right corner and approve transmit. For more details on this process, you can check out our guide on How to Attach Supporting Documents to Claims in Claim.MD.
âď¸Why did you integrate with Claim.MD?
We chose to integrate with Claim.MD for a few reasonsâŚ
-
Our community loves billing with Jane and Claim.MD. Jane users who switched to Claim.MD have told us: - It provides a smoother and more likely-to-succeed billing process than their previous clearinghouse - Claim.MD is intuitive and easy to navigate
-
Claim.MD has helper-first values that align with ours: - They focus on customer experience and provide good customer support - Theyâre willing to add new payers - They have transparent, no-surprises pricing
-
Working with Claim.MD allows us to build a better integration, faster: - They have resources that allow us to build our own integration, which creates a more intuitive, cohesive billing experience for Jane users
âď¸Will you be integrating with Office Ally, Availity, and/or TriZetto?
We donât have any plans to build integrations with additional clearinghouses at the moment. The more integrations we build, the longer it will take for us to add more value to the insurance billing experience (things like eligibility checks), so weâre focussing on building one great billing experience with Claim.MD right now.
âď¸Iâm not using Claim.MD right now. Should I switch?
We think so! For all the reasons listed above, we believe Claim.MD is a great choice for Jane users. You will need to be using Claim.MD in order to enjoy our Integrated Claims feature, so if thatâs something that will make your billing a lot easier (and we think it will đ), itâs worth making the switch.
Watch the webinar
In this 25-minute session, youâll see a demo of Claim.MD, an overview of billing through the integration in Jane, some stats from our beta users, and what weâll be building next. Enjoy! đż