Your solution to delinquent accounts and more.



ASI  provides you the tool to collect on those delinquent insurance carriers.

Supreme Innovative Solutions, L.L.C. Receives Special Awards for Their Site from Companies Below

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Member of the International Executive Guild

Member of the Medical Association of Billers

Our National Affiliate,  can provide the capability to receive the fastest reimbursement with their many years in the electronic claims filing arena and excellent knowledge of the healthcare industry.

Looking for someone to do your UB 92 EDI processing then you have came to the right destination. Call us details Today! 330.332.3115

"We are  here  to educate "You" on the benefits of the clearinghouse" 

Benefits Of Using A Clearinghouse

• Increased Cash Flow - If a healthcare provider were to send claims through the mail, many weeks would pass before they would receive mail notification that errors were holding up payment on their submitted claims. A clearinghouse collapses the wait cycle from 4-8 weeks on paper claims into an average of 5-21 days. 

• Guaranteed Delivery - Insurance carriers often claim they have not  received claims that healthcare providers send through the mail. When claims travel electronically through a clearinghouse, these instances are greatly reduced. 

Our associate is fast becoming one of the major principals in the medical claims processing field.
 

	Our associate specializes in implementing electronic claims easily and cost effectively for our clients.
	They require "NO" modifications on your system.
	Our associate will map the name and address of the carrier as it appears on the printed HCFA,  to their database of carriers that will accept claims electronically.
	They work with all Medical Software packages,  regardless of platform.
	They verify that every claim is accepted into the carriers electronic pipeline.
	They provide reports which will detail errors and other information about each batch of claims received.
	Our associate will print and mail claims which cannot be sent electronically.
	They provide reports which will detail errors and other information about each batch of claims received.
	They submit to over 753 different carriers and are constantly adding to our capabilities.
	Our associate has over 13 years experience in servicing the medical community.

	They edit every field on a HCFA for correctness.  In order to get the best acceptance, they can correct some errors and format issues. They also have the ability setup custom error checking and editing that a specific client may require. I.e.:  If there are certain procedures that you perform that you know require a modifier to get paid,  they can edit for the modifier and either error the claim so that you can immediately resubmit or they may be able to correct the issue before they send the claim to the carrier.
	They correct syntax for referring physician,  dates,  patient name and insured name.
	They  validate that the proper physician data is included for each claim.

Frequently Asked Questions

Can your EDI program system work with my software?

The system is made to work with almost all Medical Software.  All you need to do is be able to generate either a HCFA Print Image or NSF (National Standard Format) file.  If you have a question regarding this subject, our analysts will be happy to work with you to get through this issue.

How often can we submit claims?

Claims received before 5:00 PM eastern time are transmitted to the carriers overnight.

What happens if there is a problem in transmitting claims from EDI affiliate to the carriers?

In order to maximize our reliability,  they batch all of our client claims together before they submit them to the carriers.  They do this so they can easily track individual client claims by batch and day.  If there is ever an issue in transmitting to a carrier they will automatically take care of resending the claims.

EDI affiliate retains all correspondence indefinitely  and therefore they have no issue in tracking specific claims if that becomes necessary.  They will archive your claim files indefinitely and have the ability to resubmit a batch if that is ever required.

How often can we submit claims to the EDI affiliate?

You can submit claims to them as frequently as you require,  from multiple times per day to once a week.

We need to submit to a carrier that no one seems to support,  what can you do?

They will implement any new carrier at the request of a client,  assuming that the carrier can accept a version of the National Standard Format.
 Claim Checking and Custom Edit Capability
 
 
 

Clearinghouse Points of Interest

• A clearinghouse serves as a liaison between the healthcare provider and the insurance company.
• Insurance carriers have everything to gain by delaying payment to healthcare providers. This is known as floating claims.  Insurance carriers make millions of dollars annually on the interest accrued in not paying providers in a timely fashion.

How Insurance Claims Are Filed

In most cases, when a healthcare provider renders a service to a patient, the provider’s staff must generate a bill to the insurance company. After the insurance company receives the bill, payment is mailed out to the provider.  This may sound simple, where in fact the only relatively simple part is the keypunching portion. This is where billing centers are a big help. Healthcare providers have a tough time getting paid these days. Insurance claims, submitted to insurance carriers, are being heavily scrutinized for eligibility, fraud, and justification. This is known as the adjudication process.

Healthcare providers file claims either by paper claim forms through the mail or electronically using software. In most cases, practice management software is used regardless of how claims are submitted. If software is used, claims are sent to insurance carriers via a clearinghouse. Sometimes, insurance carriers act as their own clearinghouse, enabling healthcare providers to submit claims directly to them and thus bypassing commercial clearinghouses.

Please take a few moments to answer the following questions. If you answer yes to more than three (3) questions, you may want to contact us about helping you on how to  processing your claims through our National associate.  

1. Are you tired of claims being rejected over and over again?

2. Are you tired of hearing the insurance carrier request information that you already sent with the initial claim?

3. Are you tired of hearing that your claim was never received?

4. Are you tired of waiting 30-45 days for payments, even though you are sending electronically?  (This generally means that the electronic claim you submitted to the clearinghouse has been dropped to paper before being sent to the insurance carrier.)

5. Are tired of your clearinghouse editing and downcoding your claims?

Not All Clearinghouses Are Created Equal!

A healthcare transaction clearinghouse performs auditing services on insurance claims. If a claim is determined to be free of typographical, syntax, and logistical content errors, it is forwarded to the insurance carrier responsible for payment. If errors are detected, it is returned to the healthcare provider along with an explanation of what was wrong. The healthcare provider may then correct the errors and resubmit the claim for another pass. This process may be repeated until the claim passes the inspection.