Jump to content

Medicare claims transfer

This topic is 3935 days old. Please don't post here. Open a new topic instead.

Recommended Posts

How do I send electronic claims transmission to Medicare or a clearing house like eclaims. They require file format of HCFA print image or a NSF file. Does anyone know how to get these file formats out of Filemaker.

I believe that there is already Filemaker based software that can send an electronic claim to a clearhouse, but I just don't how they do it. Any ideas?

Link to post
Share on other sites
  • 3 weeks later...

That will depend to which companies you are sending the claims to. I have worked with electronic claims going to various clearing houses, and I don't remember any of them specifying a specific file format. I believe we send all claims in a .dat format, and the clearing houses have been able to read them with out any issues.

We use the Troi-File plugin to create these files.

Link to post
Share on other sites

Schedula Professional at www.LifeSuccess.org auto-generates CMS-1500 Health Insurance Claim forms as text files that you can then submit to clearing houses. Everything is done in FileMaker Pro without any plug-ins required. Seems to work fine.

Link to post
Share on other sites
  • 2 weeks later...

The only foreseeable problem there is that he will most likely run into a problem with Medicare when they decide to change around the form, or decide that they want different information to be sent.

If he here just going through clearing houses this wouldn't be an issue.

Link to post
Share on other sites
  • 5 months later...
  • 1 month later...

Thanks for the help, I'm using a print map file, which is just a text file with properly spaced out text. The print map file has text spaced out so that it would properly line up with a cms 1500 form.

It looks like schedula would be a similar type solution.

Link to post
Share on other sites

This topic is 3935 days old. Please don't post here. Open a new topic instead.

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Similar Content

    • By cbum
      Our institution is now requiring PHI-containing databases to log not just modifications to records, but to log every access/viewing of any record. They want to be able to respond to the question "Who has looked at my medical record, even with no change to the record?".
      I am not aware how to achieve this with FM, do any of the add-on programs have such features?
      I am facing the forced elimination of a critical database, built over 15 yrs, if this cannot be achieved.
      Thanks for any suggestions.
  • Who Viewed the Topic

    1 member has viewed this topic:

  • Create New...

Important Information

By using this site, you agree to our Terms of Use.