Current Payer Directory Download  updates Electronic Services

 

Shorten insurance payment time


  NDC Electronic Claims Processing is your one solution for all your health insurance claims.

 

  • Sends all claims to one location with one telephone call saving you time and money
  • Checks claims for missing information, valid procedure and diagnosis codes, and payer-specific edits improving claims acceptance
  • Forwards accepted claims to the payer and sends a report to the provider on the status of submitted and rejected claims 

Instantly access eligibility information

It’s not just about electronic claims – NDC Electronic Claims Processing gives you the added benefit of eligibility verification. You will have instant access to a patient’s health plan status, deductibles, and co-payment information. Eligibility verification reduces the time your staff spends on the phone tracking down this information.

Quickly and easily post payments

NDC Electronic Claims Processing also offers Electronic Remittance Advice (ERA). NDC Electronic Claims Processing downloads the ERA file from the payer. With a few keystrokes, the payments and adjustments are posted to the correct patients’ ledgers. This saves time and eliminates the errors caused by math or keying errors often associated with manual posting.

Why process claims electronically?

  • Claim acceptance rises as much as 30%
  • Payment time is reduced by up to 50%
  • Electronic claim services save money – they are priced below the cost of supplies and labor required to submit paper claims

Order  Electronic Claims Processing

Per-Se Electronic Claims Processing Setup: $299*

 

For more information, please contact our enrollment department at 888-880-0384, extension 103, or email to kelly.meeks@sunrize.com

This fee is for setup of your electronic claims module, only.  Two year contract required.  Per month/claim charges apply.  Please contact a representative for more details.  Support contract extra.  

**DME companies***  At this time, NDC Electronic Claims processing does not provide services for Durable Medical Equipment Companies, please follow the link for information on Zirmed.

 

Medicare's NPI Implementation Schedulearrow-nextoword  
Medicare's implementation involving acceptance and processing of transactions with NPI will occur in separate stages. Click here to view the implementation schedule.
more
Submitting NPI & Legacy Identifiersarrow-nextoword  
MedAvant is implementing the dual submission strategy adopted by CMS - requiring both NPI and legacy provider identifiers in the ANSI 4010 A1 submissions.
more
How to Apply for Your NPIarrow-nextoword  
Haven't applied for your NPI? Click here to learn how to submit your application.
more
Claim Forms, UB-92 and HCFA 1500, Under Revisionarrow-nextoword  
Claim forms will change to incorporate the healthcare provider's NPI. Click here to learn more about those changes and when they will take effect.
more

 

Updated March 10, 2007

Does Your Practice Suffer From…

                                       Shrinking Practice Income Syndrome?

It's no secret that, by many measures, physician incomes are shrinking. Add to this a staggering, recession-ish economy that's making collections more difficult, well, this isn't helping things. Medical expenses are a leading cause of bankruptcy; more and more people are losing individual coverage because of insurer recessions! Medical inflation keeps outpacing overall cost increases!

Shrinking Practice Income Syndrome 42008.pdf