Billing - Simplexam

Why Simplexam Users Needn’t Fret About Clearinghouse Changes Like Tristar’s

In the world of workers’ compensation, the relationship between Claim Administrators, Third-Party Administrators (TPAs), and clearinghouses is critical for smooth billing processes. Clearinghouses act as intermediaries, processing electronic bills (e-bills) and routing them to the appropriate claims administrator. However, when TPAs like Tristar Risk Management switch clearinghouses, it can create significant disruptions for providers—unless they’re… Continue reading Why Simplexam Users Needn’t Fret About Clearinghouse Changes Like Tristar’s

QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Often, collectors will call the bill reviewer or adjustor and be told “Your claim is denied.” Inexperienced collectors will hear this and give up, mistakenly believing nothing else can be done and that the denial is final. But – there is a difference between the applicant’s claim – aka case-in-chief (CIC) – and the bill… Continue reading QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Introducing Simplexam Email Service

In today’s medical-legal world where the growth of QME examiners outpaces the number of QME panels, efficiency and simplicity are paramount. Handling billing claims, ensuring compliance, and facilitating communication between management and insurance companies can be a complex and time-consuming process. Fortunately, Simplexam now offers email service in compliance with DWC Regulation 36.7 Electronic Service… Continue reading Introducing Simplexam Email Service

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Category: Billing

Why Simplexam Users Needn’t Fret About Clearinghouse Changes Like Tristar’s

QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Introducing Simplexam Email Service

Contact Us:

Get in touch with a Product Specialist

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