The PCIS GOLD^® software streamlines third-party payor processing with exceptional claim submission and remittance capabilities. Using the patient-visit record, claim information is extracted, edited, and prepared for transmission to the clients' claims clearinghouse. Claim activity is recorded by line item within a visit. This, along with a virtually unlimited number of reimbursement schedules, creates powerful analysis capabilities by or within payor. It provides PCIS clients with the ability to proactively manage third-party reimbursement at the payor and plan levels.

The PCIS GOLD electronic submission and remittance capabilities include:

• X-12 formats
• Automatically processed claims for primary through tertiary payors
• Patient responsibility calculations based on user-defined reimbursement plans
• Automatic re-bill based on users' criteria

 
PCIS GOLD, P.O. Box 51427, Provo, UT 84605
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