Miracles Account Management | ZirMed EDI Solutions | Claims Management
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ZirMed EDI Soluntions
ZirMed Claims Management
Finding the Cure for Healthcare Administration Costs

ZirMed's Claims Management solution allows Healthcare providers to get paid more quickly. Our solution supports both professional (HCFA 1500) and institutional (UB92) claims and can accept them in ANY format, including all versions of the National Standard Format (NSF), print files, ANSI X12 837, and proprietary data formats. ZirMed's innovation and flexibility are highlighted by our ability to support your practice management or information management system with little or no integration. We make legacy systems efficient again.

ZirMed's innovative real-time claims submission process allows you to submit a batch of claims. We forward those that are “clean” and immediately return those we are unable to validate at our initial edits. Claims are sent to payers in real-time, where supported by the payers. Our Claim Tracking feature allows you to follow the progress of the claim every step of the way, from submission to payment. ZirMed gives you an audit log of the claims' progress. Payer acknowledgements are reflected on ZirMed's system.

ZirMed provides extensive tools to assist in the management of your claims. Our Rejection Analysis engine categorizes rejected claims by reason in plain English language, and allows users to address issues affecting the highest number of claims first for resubmission. Common rejection reasons may be identified and steps taken to increase first pass rates. Rejected claims may be edited on-line and immediately resubmitted.

We support certain claims attachments, as allowed by payers. We even offer electronic filing of secondary claims by linking the primary claim to an individual EOB (explanation of benefits), available electronically.

 
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Miracles Account Management
ZirMed Claims Management
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Benefits include:
NO MORE LOST CLAIMS!
Claims accepted in ANY format
Claims tracking feature
Audit log of claims from submission to payment
Continuous Customer Support
Powerful rejection analysis features
ZirMed professional
Frequently Asked Questions
What formats do you support for claims submission?
Which payers are supported through ZirMed?
All common formats such as HIPAA X12 837 format, several NSF versions, and Print File (both HCFA-1500 and UB92). We can also take uncommon formatssuch as comma-separated, Access database, etc. Whatever your situation, we'll make it work.
We are electronically connected to over 1700 payers and have a direct connection with most government and large commercial payers. We're also connected with several other clearinghouses to bring the largest payer selection possible. If a payer is unable to accept electronic claims we will drop them to paper and forward via regular mail.
Will ZirMed work with my Practice Management System?
Can I control viewing access to my data?
ZirMed is able to work with most practice management systems. We will work with you or directly with your vendor to find the claims file in your system and upload it to our system.
Yes, ZirMed allows your administrator to have the ability to control user access to your account on our system.
How do I get support?
What is the enrollment process?
During implementation, you are assigned a personal Account Manager to ensure that you are using the ZirMed system to your fullest advantage. We also offer several avenues to obtain assistance, including free phone support and Internet live chat service.
We fill out all the enrollment forms and send them to you for your signature. That's it, we take care of the rest. Our objective is to simplify this process as
much as possible.
How soon will I be in production?
What types of reports are available?
Most clients are in production for commercial claims and some government payers within 48-72 hours of submitting their first test file.
ZirMed offers a variety of real-time reports, all available on-line. Reports include rejection grouping, cumulative rejection analysis, as well as batch detail and customized reports specific to your needs.
How soon will I know if a claim has been accepted or rejected?
That is payer dependent. If a payer is real-time, responses will be posted back almost immediately. Responses are always made available within minutesof receiving them from the payer.

“Changing to ZirMed for our EDI claim submission solved our "lost claim" problems. We have used ZirMed since August 2004 and I have yet to document a case of a carrier stating, "we have no claim on file" in regards to a claim, submitted via their site. Using the "free" clearinghouse option offered by our billing software vendor was costing our practice too much money in time and resources to follow up on claims lost between the clearinghouse and carriers. Our practice is extremely pleased with their service.”

Steve H. Hoban
Billing Systems Administrator
Wolverine Anesthesia Consultants

 
About ZIRMED, Inc.
 

ZirMed was the first web based, electronic document interchange company in the medical industry. Founded in 1999, we have grown to over 12,000 healthcare providers and process millions of electronic transactions each month.

Our flagship offering is Revenue Cycle Management. From patient scheduling, insurance verification and payment processing in the front office to claims processing, remittance posting and patient statements in the back office, we handle the complete revenue cycle for you. The end result is increased productivity from your staff and significant reductions in the cost of money, personnel and supplies.

Being web based, our non-invasive, minimal investment offerings provide the quickest payback periods and highest returns on investment in the industry. There is absolutely no risk in trying our service, yet substantial net profit improvement for your business can be gained.
About Healthcare
 

Healthcare is a complex business. Administrative inefficiencies and costs steal valuable resources from providers, thereby limiting dollars that can be invested in patient care. Our Revenue Cycle Management solutions are designed to alleviate inefficiencies and reduce costs in the following manner:

Providers experience greater control over administrative processes.
This increases cash flow, staff productivity and revenue per patient visit.
Payers team with ZirMed in order to increase the percentage of claims submitted electronically.
Through extensive edits and adherence to detail, we strive to have 100% pass-through rates.
Practice management software vendors partner with ZirMed because we enhance the capabilities of their offerings.
With ZirMed, the partnership is based on innovative technology solutions and dedication to customer service.


address
   Miracles Account Management, Inc.
3300 County Road 10, Suite 100
Brooklyn Center, MN 55429-3064
 
toll-free
   877-252-2949
local phone
 763-398-5214
email
 dan@miraclessoftware.com
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