Bowman Interface Technologies

Claims-2-Ezcap™

Claims Inload Interface for the EZ-CAP^® managed care system, offering claim filtering, data conversion, data verification, member ID correction, EZ-LINK^® file editing, support for most practice management systems, and complete audit trails

Download information on Claims-2-Ezcap in PDF format:

Electronic Claims Inload brochure
Claims-2-Ezcap Professional Claims
Claims-2-Ezcap Institutional Claims

Claims-2-Ezcap™

Why is Claims-2-Ezcap^™ the most widely used electronic inload interface to EZ-CAP?

Experience: Inloading claims into the EZ-CAP^® managed care systemsince 1994.

Speed: Load 1,000 claims per hour per user.

Flexibility: Load claims from any source and any format.

Unilab
Medic/Misys
X12 837
Print Formats 1500 and UB92
NSF any version
UB92 flat files
Print Images of Super Bills
Spreadsheets
Scanning Companies

Support: See the excellent ratings from existing customers What They're Saying...

Productivity:

Load a Lab claims file in one day.

Load claims 10-40 times faster than by hand.
Load claims 2-10 times faster than by other electronic means.

Solve Complex Problems Easily:

Loading into the EZ-CAP^® managed care systemfrom Medic/Misys since 1999.
Determine Place of Service for IP or ER institutional claims based on revenue codes.
Correcting errors before inload.
Finding the correct Member ID.
Data Validation against EZ-CAP.

Here are a few things Claims-2-Ezcap^™ can do:

Manage your electronic claims interface to the EZ-CAP^® managed care system with Bowman Interface Technologies, Inc.'s CLAIMS-2-EZCAP^™ Interface System.

This product allows complete management of your claims input from print files of either HCFA 1500's or UB92's or from any record or X12 format. Stop rekeying data and concentrate on data accuracy and qualification.

CLAIMS-2-EZCAP^™ Interfaces to the Professional, Hospital, and Paid-Claims versions of the EZ-CAP^® managed care system.

Validate data prior to claim inload against the EZ-CAP^® managed care system files: Authorization, Provider, Procedure, and Diagnosis.

Translate data via user-defined tables to match input for the EZ-CAP^® managed care system.

Translate data for Provider ID, Place of Service and Outcome of Service.

Filter claims electronically based on data from the claim. Full information on why claims were included or excluded.

Automatically screen patients to upload based on Insurance Code, Financial Class and Patient Type combinations .

Determine Place of Service for IP or ER based on revenue codes.

Providers need only one interface. No need to pay for costly reprogramming of Provider's Practice Management System.
Automatically convert UPIN numbers to the EZ-CAP^® managed care systemprovider numbers.

You control the system. Users maintain all conversion tables and filtering criteria.

Eligibility Verification corrects common member ID data problems.

Error, alert, and warning messages prior to inload. Validate data against the EZ-CAP^® managed care system information prior to inload.

Generate multiple claims or aggregate to one claim to meet the EZ-CAP^® managed care system maximum line items per claim.

Use reports to identify source document errors. Improve your operations by positive proof of source document errors.

Eliminate hand claim sorting using the filtering capabilities.

Import claim data from: 1500 Print Format, UB92 Print Format, Record Formats, HIPAA X12 837.

Supports all the EZ-CAP^® managed care system versions: 3.0, 3.2, 3.3, 3.4, 3.4.2 ,3.4.2a, 4.0, 4.1, 4.2, 4.3 .

Extensive audit trails provide complete tracking of claims from receipt to inload. This includes all data corrections.

Four weeks guaranteed installation gets you up and running. Our installation is complete when you load live claims.

Quick load features allow you to build conversion tables on the fly.

Multiple Member ID correction algorithms allow you to maximize clean claims.

Proprietary Data Format Description Language, DaFoDiL^® allows the system to be easily customized for each practice management system.