What does the Zencare Practice Management Insurance Feature include?
Payer Enrollment: Seamlessly enroll with over 10,000 payers through our integrated clearinghouse network, all within the Zencare platform.
Patient Coverage & Benefit Eligibility: Quickly add, access, and manage patient coverage details including: copays, deductibles, and deductible status, directly from your client’s profile.
Claim Submission: Effortlessly submit insurance claims directly from your client’s profile where Zencare Practice Management’s platform submits your claims through our network of clearinghouses or through a direct relationship with your payer through our reliable EDI connections.
Claim Accuracy Audit & Clearinghouse Processing: Ensure accuracy and compliance with automated claim scrubbing for rejections before submission to a payer. Our clearinghouse integration ensures smooth processing and submission of all your claims. Monitor claim status, manage, edit, void, reconcile, and resubmit claims throughout the revenue management lifecycle as needed.
Explanation of Benefits (EOB): Receive and review insurance claim explanation of benefits to understand payment details, responsibility, adjustments, or denials.
Claim Payment or Denial Status: Track claim payment status in one place, ensuring you stay informed about reimbursement and denial reasons.
How does benefit verification and claim processing work?
Benefit Verification Processing: Verify patient benefits with ease at $0.15 per check. Access real-time information crucial for accurate billing and claim submissions.
Claim Processing: Submit claims efficiently at $0.25 per claim. Manage claims through their lifecycle, from submission to payment status updates.
Who can access the Zencare Practice Management Insurance Feature?
The insurance feature is included in the Zencare Practice Management Premium subscription plan. Users subscribed to Zencare Practice Management Pro will need to upgrade to Zencare Practice Management Premium to access these advanced insurance management capabilities.
Where can I find more information or get started?
For detailed pricing visit our Zencare Practice Management pricing page or navigate to Settings > Subscription within your Zencare Practice Management application.
To set up a one-on-one demo of these features, get connected here today!