State Direct Modules

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Send Claim's Claim Manager is a powerful electronic claims processing system that includes automatic payment posting and fully automated claim submission and report retrieval for most payers. Claim Manager can process any type of claim1 to any payer across the country without monthly or per-claim fees.

A single version of Claim Manager works with any of these practice management systems:
- Lytec 2004, 2005, 2006 or 2007
- Medisoft 8, 9, 10 or 11

Claim Manager can be used to submit claims and process payments for payers across the country. We are approved vendors in every state for Medicare (part A and B), Medicaid, and Blue Cross Payers. Our software can be used to submit commercial claims to any payer that accepts direct claims or you may send claims to the clearinghouse of your choice.

There is even a commercial clearinghouse you can use at no cost to the provider. THIN, a collaboration of BCBS of Texas and BCBS of Illinois, is a very responsive and capable clearinghouse for over a thousand commercial payers. SendClaim has been a vendor partner with THIN for several years and we can provide the enrollment forms to get your provider in production in about a week without any testing requirement.

Claim Manager does not use a print image to process claims. Claim Manager reads the claims directly from the database and marks them as sent, just like the practice management system itself. This is why we can process so many types of claims that go above and beyond the capabilities of most clearinghouses or “direct modules” supplied by the practice management system developers. This is also why we can post the functional acknowledgements and electronic remittance payment files.

As Claim Manager processes the claims the information is “mapped” into the electronic file format. During this mapping process we can make intelligent decisions about the data in the claim. For example, we can select the proper codes and values to send based on the type of services a patient has received. After mapping, the claims are reviewed against the edit rules to be sure the information is correct before they’re transmitted. The results of this review are shown on the Claim Validation report.As Claim Manager processes the claims the information is “mapped” into the electronic file format. During this mapping process we can make intelligent decisions about the data in the claim. For example, we can select the proper codes and values to send based on the type of services a patient has received. After mapping, the claims are reviewed against the edit rules to be sure the information is correct before they’re transmitted. The results of this review are shown on the Claim Validation report.

Claim Manager was built from the ground up to be configurable by design. We can adapt to changing requirements and new payers without changing our core software, it’s simply a configuration item for us. This is also the reason one program can work for any payer across the country and it gives us the ability to include any information from anywhere in the practice management system in the electronic claim file.