Professional Healthcare or Medical Billing

By: I-plexus Solutions  09-12-2011
Keywords: Insurance, Billing, Practice Management

   Call us toll free at Support: 800-279-8390 or Sales: 866-337-4014   
i-Plexus Billing Service Summary

Free medical billing and practice management software
when you sign up with our billing service. You will be able to register, schedule and enter charges with this free software. There are no up front software license fees or software support fees. You can run the software locally at your practice on your own hardware or you can utilize our software that is available to you over the internet. Either option works for i-Plexus Solutions.
Get Paid Faster

Edit Engine:

Join our growing community of providers that benefit from our "real time" payer and provider edits that we put in place to make sure your claims go out correctly the first time around.

Acting on Claim Status:

We are informed every time your claim changes from one claim status to another so if there is an issue we catch it right away before we receive the EOB.

70 Years of Experience:

Our staff utilizes their historic experience to your advantage making sure that you are always in compliance with the latest regulations and that you are getting reimbursed the appropriate amounts relative to the actual procedures and services provided.
Increase your collection rates

Stop Billing Errors:

We have automated the detection of most billing errors. We are constantly learning from the knowledge we obtain from payers as to why claims deny. Every time we learn of a denial, we build an edit that will stop the claim dead in its path so that it will go our correctly the first time.


From claim status checking to Electronic Remittance Posting and many other points in between, we go out of our way to automate manual processes. This allows our staff more time to focus on obtaining payment from those stubborn payers that won't part with your money.
High Touch Services
We are in constant touch with our providers and their staff and we emphasize a "high touch" service approach because we truly believe in constant bi-directional communication to insure that we achieve the best results for the practice. You have full visibility to your practice information at all times. You will always know the status of a claim at any time from initial submission through final payment and you can engage with a dialogue with our staff at any time during the business day.
Under this plan we provide the full service of demographic entry, charge entry, insurance billing, balance billing of the patient, insurance follow up, patient follow up, patient statements, receiving calls from your patients, and full management reports. Our fees are based on a percentage of what we collect and typically the higher the monthly reimbursement amount and the higher the reimbursement per charge, the lower our fees will be. Under this plan, we provide a service of entering your patient demographics and charges, generating the insurance bills to the insurance companies, and management reporting. We leave the rest of the processes to you. Our fees are based on a fixed fee per charge entered.

Keywords: Billing, Billing Service, Insurance, Management Reports, Medical Billing, Practice Management,

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Other products and services from I-plexus Solutions


i-Plexus Solutions :: Solutions :: Eligibility

You have access to the latest rules and regulations for most managed care insurance providers in your state, including up-to-date names and addresses of every participating specialist, by plan. Importing your transactions into your practice management system is easy, and most of the major systems are already importing this data.


i-Plexus Solutions :: Solutions :: Print and Mail Services

We also deliver these collection letters with a background that makes the envelop looks like it contains a check.thus increasing the chances that the patient will open up the envelop versus tossing it aside. Print and Mail Services including patient statements and paper claims are an important part of Healthcare revenue collections.


i-Plexus Solutions :: Solutions :: Electronic Remittance Advice

With the appropriate module in your practice management system, you can automatically create payment and adjustment records in your receivables system from the data in these files. I-Plexus is able to receive electronic remittance files from hundreds of payers nationwide and deliver them to you in both machine readable and human readable format.


i-Plexus Solutions :: Getting Started :: Claim Status Reporting

This claim status is updated several times a day based on technical responses, reports and ERA payments/denials that i-Plexus receives back form the payer or the payer's intermediary. This type of "claim status reporting" is normally offered at a much higher price point from a few of the clearinghouses and is essentially absent from majority of the clearinghouses.


i-Plexus Solutions :: Solutions :: Anesthesia Billing Service

Through our anesthesia knowledge and our automated work flow systems, we make sure that your claims never fall into this category. We have experience with transesophageal echocardiography and invasive lines, discontinuous time, and critical care services. We understand nuances relating to defining base and time units and calculating concurrency. Our management team has over 30 years of combined anesthesia billing experience.


i-Plexus Solutions :: Solutions :: Medical Professional Electronic Claims

I-Plexus assigns 11 different claim status codes to assist you in knowing exactly what the status of your claim is 24 hours day/7 days a week. With the i-Plexus Claim Editor, you can track your claims much like you would with "Federal Express". We use that experience to continuously improve on our clearinghouse services.