Iplexus Clearinghouse
Iplexus is one of many web-based
companies that accepts electronic claims files
for commercial, and non-commercial carriers such as Medicare, Blue
Shield and Medicaid. You have the ability to send claims either via the
web or through a toll free dial-up. You are not obligated to use Iplexus as your
commercial claim clearinghouse. Any clearinghouse that accepts the
HIPPA compliant 837 claim file can be used. Regardless o which company
you choose, it is their obligation to teach you how to use their web
based interface. So be sure that have the ability to train you. Medical
Databases will assist you with creating the file, checking for errors
and other tech support issues, but each company has their own specific
interfaces and protocols.
Costs
Fees continue to change. However,
as of 10/1/2008, the monthly cost for unlimited commercial claim
submissions with Iplexus is
$60. To submit non-commercial claims, such as Medicare, may have
additional cost.
Signing up for Iplexus
The link below will take you to the iPlexus webite...
http://www.iplexus.net/iplexus/default.aspx
From there click on the Getting Started tab. Be sure to use "Medical
Databases" as the vendor name when you sig up.