Electronic Claims

Submitting Electronic Claims means transmitting the medical claims electronically to the clearing house with whom you have a signed agreement.

Handling claims electronically eliminates many of the delays involved in filing paper claims, such as the time the post office takes to deliver the forms; and the time it takes the data entry staff at the insurance company to re-enter information into their computers.

To go to the Electronic Claims option, click on "+ sign adjacent to Bill Insurance" option. Then click on "+ sign adjacent to Electronic Medical Claims" option.

Screen 1 - Practice Home Page - Electronic Claims



Create / Send Electronic Claims

This option enables one to create and submit the claims to the clearing house electronically. The claims which are ready to be submitted are put in one file.

Note that during the provisioning of the insurance company information, one has to set the Electronically Billable option to Yes only for those insurance companies whose claims are accepted eletronically by the clearing house.

View Claims Transaction Summary

Once the claim file is created, an entry is created in the log file summarizing the results.This summary of claims, which are put in one file, can be viewed using this option. Click on the option to see the following display.

Screen 2 - View Claims Transaction Summary



The transaction summary displays the following details :-

• Date of Creation of the Claim file
• Name of the file containing the claims. Its format is yymmddxx.std
• Number of Claims of each insurance company
• Total amount billed to that insurance company

[Cancel] button will take back to the Practice Home Page.

View EMC Files

The EMC (Electronic Medical Claims) file contains all the claims that were marked for Electronic Transmission in a suitable format. The file is named as - today’s date followed by a number from 1 to 99. This allows for multiple files (up to 99) on any given single day. The file suffix is std . Leave the file with the txt suffix alone.

Screen 3 -View EMC Files



In the above screen, click on the file name to see the details of the file. Please delete the old files which are not required by clicking the check box adjacent to the file name and then clicking the [Delete] button. [Close] button will take back to the WebPractice Home Page.

View EMC Reports

The EMC (Electronic Medical Claims) reports are downloaded from the clearing house. The reports give the disposition on the claims submitted to the clearing house. Please look at this file to confirm that all the claims were received by the clearing house without any errors. In case there are any errors, these will have to be fixed and the corresponding claim/s resubmitted.

Screen 4 -View EMC Reports


In the above screen, click on the file name to see the details of the file. Please delete the old reports which are not required by clicking the check box adjacent to the file name and then clicking the [Delete] button. [Close] button will take back to the Practice Home Page.

View EMC Error Log Files

If there are any errors while transmitting the claims electronically, then those errors are logged and saved in a ".err" file whose format is yymmddxx.err. This option enables to view such saved error log files.

Screen 5 -View EMC Error Log files



In the above screen, click on the file name to see the details of the file. Please delete the old error log files which are not required by clicking the check box adjacent to the file name and then clicking the [Delete] button. [Close] button will take back to the Practice Home Page.