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E-COMB Easier  and  Friendlier  Software  Solutions  for  medical  Claims  EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI).  The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients.  This is one of the most important tools for doctors in realizing their revenue by reducing the turn around time in the claims reimbursement. E-COMB is approved by Blue Cross Blue Shield of Michigan (BCBSM). ©  2010 KBTS Technologies, Inc.         All rights reserved.
DOCTOR (S)RENDERING PROVIDER Group NPI # X MAYO CLINIC DOCTOR  1 NPI  # A ©  2010 KBTS Technologies, Inc.         All rights reserved.
PATIENTS Will have Individual Id’s MEDICAID INSURANCE  ID  ***** UNITED INSURANCE  ID  ***** PATIENT  2 PATIENT  1 PATIENT  3 ©  2010 KBTS Technologies, Inc.         All rights reserved.
PATIENT  VISIT  ©  2010 KBTS Technologies, Inc.         All rights reserved.
BILLING PROVIDER  &  SUBMITTER ***  OUR TARGET CUSTOMERS  / USING  E-COMB ©  2010 KBTS Technologies, Inc.         All rights reserved.
RECEIVER  &  PAYER PAY 2 PROVIDER COMPANY/GROUP (OR) INDIVIDUAL TO WHICH BILLS ARE PAID (FINAL STAGE) ©  2010 KBTS Technologies, Inc.         All rights reserved.
BILLING  PROCESS ©  2010 KBTS Technologies, Inc.         All rights reserved.
E-COMB   FEATURES Summary of Features :    Electronic and manual claim generation, submission and reconciliation    Compliance with HIPAA transaction and code set standards    Send and receive EDI transactions      HIPAA EDI transaction sets implemented and tested:          837 – Health Care Claim - ASC X12N 837(004010X098A1)      835 – Health Care Claim Payment/Advice – ASC X12N 835(004010X091A1)    Code sets implemented:       CPT-4     ICD -9/ CM     HCPCS     NDC   Master screens that are interwoven to have quick entry of data    Recent Patient list eases the process of selecting patients    Enter Services as and when data is available    Pool the unbilled claims automatically      Automatic Claim generation      Bundle different claims into one transaction and submit it to the payer    Reconciliation of 837 and 835 transactions for proper COB    Audit Trials  Sophisticated Reports covering all operations that are handled under E-COMB    Context based Help on each individual screen      Industry-standard, Multi-level security procedures    Work from anywhere ©  2010 KBTS Technologies, Inc.         All rights reserved.

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E-COMB

  • 1. E-COMB Easier and Friendlier Software Solutions for medical Claims EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turn around time in the claims reimbursement. E-COMB is approved by Blue Cross Blue Shield of Michigan (BCBSM). © 2010 KBTS Technologies, Inc. All rights reserved.
  • 2. DOCTOR (S)RENDERING PROVIDER Group NPI # X MAYO CLINIC DOCTOR 1 NPI # A © 2010 KBTS Technologies, Inc. All rights reserved.
  • 3. PATIENTS Will have Individual Id’s MEDICAID INSURANCE ID ***** UNITED INSURANCE ID ***** PATIENT 2 PATIENT 1 PATIENT 3 © 2010 KBTS Technologies, Inc. All rights reserved.
  • 4. PATIENT VISIT © 2010 KBTS Technologies, Inc. All rights reserved.
  • 5. BILLING PROVIDER & SUBMITTER *** OUR TARGET CUSTOMERS / USING E-COMB © 2010 KBTS Technologies, Inc. All rights reserved.
  • 6. RECEIVER & PAYER PAY 2 PROVIDER COMPANY/GROUP (OR) INDIVIDUAL TO WHICH BILLS ARE PAID (FINAL STAGE) © 2010 KBTS Technologies, Inc. All rights reserved.
  • 7. BILLING PROCESS © 2010 KBTS Technologies, Inc. All rights reserved.
  • 8. E-COMB FEATURES Summary of Features :   Electronic and manual claim generation, submission and reconciliation   Compliance with HIPAA transaction and code set standards   Send and receive EDI transactions     HIPAA EDI transaction sets implemented and tested:         837 – Health Care Claim - ASC X12N 837(004010X098A1)     835 – Health Care Claim Payment/Advice – ASC X12N 835(004010X091A1)   Code sets implemented:       CPT-4     ICD -9/ CM     HCPCS     NDC   Master screens that are interwoven to have quick entry of data   Recent Patient list eases the process of selecting patients   Enter Services as and when data is available   Pool the unbilled claims automatically     Automatic Claim generation     Bundle different claims into one transaction and submit it to the payer   Reconciliation of 837 and 835 transactions for proper COB   Audit Trials Sophisticated Reports covering all operations that are handled under E-COMB   Context based Help on each individual screen     Industry-standard, Multi-level security procedures   Work from anywhere © 2010 KBTS Technologies, Inc. All rights reserved.