FAQ

No. We use channel partner clearinghouses such as Emdeon and Availity and others as well as direct connections. If you are using a clearinghouse at this time, it is likely that your clearinghouse also sends claims to other channel partner clearinghouses or another entity before the claims go directly to the payers.

 Some payers choose to be exclusive to one clearinghouse and electronic claims must be routed through the exclusive entity.

Anvicare is opened 24 hours a day through our website! You can login, upload your claim file to us, download your report from our web site and view your batches and claims on-line. When we need to perform scheduled and unscheduled maintenance, you will be able to do everything except view your batches and claims. You can continue to upload and download reports. You can check on our system status under the support option on our web site. This page will let you know of any scheduled or unscheduled down time.

We often see a lack of flexibility in the design of the interface with a clearinghouse. Anvicare is scaled to handle a wide variety of customer needs.

Whether you submit a small number of claims or a large number of claims, you will receive a confirmation report within minutes of uploading your claim file acknowledging receipt of claims.  You can then check back with Anvicare.com within 24-48 hours to see if these claims are accepted by the payer or the next processing entity.

Our solution provides a text-readable report, showing claims accepted for further processing as well as claims that were rejected.  You can even correct the errors and resubmit the claims right on-line.

Anvicare can receive HCFA print image or National Standard Format (NSF) or the ANSI 837 Format. If you are currently using another format with another clearinghouse, we may be able to accommodate it. If the volume of claims makes it economically feasible, we can write the conversion free of charge. Otherwise, there may be a nominal one-time Consulting Fee to perform the conversion.

If your Practice Management Software is not EDI ready and cannot produce an NSF claim file, you can still send claims to Anvicare. Most PMS systems can print HCFA claims to a printer. If your PMS can print claims to a printer, you can then set up a "generic text" printer from Windows that prints to a file. Then, select this printer as the "Active" printer when it's time to print claims. This "print image" HCFA file will now be the file that you would upload to Anvicare.

You may also considering at looking at our Claimstronic for Windows PMS. It can output NSF format.

As a part of our service, you can enter the network id for the provider and payer requiring it and Anvicare.com will automatically insert the entered NetworkId/GroupNetworkId into each claim. When a claim from the payer requiring the id comes in and meets the criteria of the entered data, a substitution automatically occurs.

Yes.  We send claims to Medicare and Medicaid.  Sending claims to Public Payers may involve registrations and testing which will require additional time and support to accomplish. Check our payer list to determine if enrollment for the payer is required.