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🇺🇸 Integrated Claims with Claim.MD - FAQs

  1. US Insurance Billing Additional Resources
  2. 🇺🇸 Integrated Claims with Claim.MD - FAQs

    3. 7 min read

If you have questions about working with Claim.MD in Jane, you’ve come to the right place. Here, you’ll find answers to some of the most commonly asked questions about Integrated Claims with Claim.MD, along with some helpful troubleshooting tips.

If you’re brand new to working with Claim.MD, we suggest getting started by visiting our 🇺🇸 Integrated Claims with Claim.MD guide. This goes over how to connect your Claim.MD and Jane accounts and get started with Integrated Claims.

Scroll through all of our frequently asked questions or jump to a specific topic below: 👇

Getting Started

Eligibility & Enrollment

Submitting Claims

Getting Started

How can I receive a 10% discount on myClaim.MD subscription?

Whether you’re already using Claim.MD or have recently signed up, you can reach out to them and let them know you use Jane. They’ll take it from there!

Which vendor access should I select?

With your permission, the Jane support team may take a look at your Claim.MD account for troubleshooting purposes. Claim MD’s vendor access settings control how much we can view in your account.

  • Full Access would allow our team to see your integration settings, your claims, and any support tickets that you’ve opened with Claim.MD.
  • All Support provides our team with access to your support tickets with Claim.MD and gives us limited visibility into your claim information.
  • Limited Access provides us with a limited view of both your support tickets with Claim.MD and your claim information.

We’re able to be the most helpful when we have Full Access but we’re happy to work with whichever access level feels best for you.

You can adjust this setting by logging into your Claim.MD account and heading to Settings > Account Settings > Vendor Access.

Can I start submitting electronic claims right away?

With most insurers, you can submit claims right away since they will have automatically enrolled you for electronic (also known as EDI) submissions. That said, it is worth double-checking as this may not be the case for all insurers.

While you can start submitting claims right away, it can take between 5 and 30 days to be approved to receive responses electronically (also known as ERAs). This means that even if you submit claim through Claim.MD, you’ll still receive the responses in your previous clearinghouse until your ERA enrollment is approved.

For that reason, we recommend that you continue submitting your claims in your previous clearinghouse until all your ERA enrollments are approved.

Can I still record payments from my previous clearinghouse?

You can still record responses from any claims that were submitted before switching to Claim.MD. You can do this by uploading your ERAs into the Remittances folder under the Billing tab.

Here’s a step-by-step guide on Posting Insurer Payments With Electronic Remittances (ERA).

Where should I reconcile outstanding claims that were submitted through my previous clearinghouse?

If you have any outstanding claims that were submitted in your previous clearinghouse, we recommend that you reconcile them there to prevent any confusion. This would include posting payments for visits that were submitted from a past EHR, or if the patients’ visits don’t populate in your Jane account.

💡 For more tips on how to ease the transition to from your current clearinghouse, check out our guide on Switching clearinghouses to Claim.MD.

Eligibility & Enrollment

Should I enroll in both EDI and ERA submissions in Claim.MD?

Most (but not all) insurers will automatically enroll you for EDI submissions to submit your claims. For all insurers, you will need to enroll for ERAs in order to receive claim responses.

You’re able to see which of your insurers require your enrollment in your Claim.MD account. Select Prov.Enrollment on the left-hand side of the screen and review the 1500 Claims column. This will let you know whether any action is needed on your end.

Claim.MD does a great job of outlining these steps in their Quick Start: Enrollment guide.

I can’t find my payer in Claim.MD’s payer list — what should I do?

Claim.MD has an extensive list of payers, but if yours isn’t on that list, they can help! You can reach out to their support team by clicking Support Ticket in your Claim.MD account to request that a payer be added.

Submitting Claims

Why do either Box 32 or my service location appear blank in Claim.MD when it’s filled out in Jane?

Due to US submission requirements, Jane will leave Box 32 blank if your billing provider address and service provider address are the same.

While this generally satisfies the requirements of most insurance companies, some may request Box 32 to be filled in for the claim to be processed. In that case, just let Claim.MD know and they can make this adjustment before submitting the claim to the insurer.

And of course, if you run into any hiccups or have any questions about this process, just send our team the details at [email protected] and we’ll be happy to lend a hand.

Can Integrated Claims automatically attach charts to my claims?

Not at this time. If chart notes are required for a submission, you can export your charts from Jane and attach them to a claim in Claim.MD.

To do so, you’ll want to enable Transit Approval Required in your Claim.MD account, which you can find by clicking on Settings > Account Settings.

This will disable automatic submissions to your insurers to make sure that you have time to attach any required files before they’re submitted.

Then, just click on Attach Documents within a claim.

If attaching chart notes to your Integrated Claims would be helpful for your clinic, we want to hear about it! Let us know by adding your vote to this feature request.

Want to dive deeper into Integrated Claims with Claim.MD? Check out some other resources here:
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