Electronic Remittance Posting

With OmniSYS Electronic Remittance Posting, you will have immediate access to payment information allowing you to easily reconcile payments to claims. Electronic ANSI 835 remittance provides details on how your claims were paid or why they were denied. Manual posting can be eliminated, while archived payment data can be easily retrieved, improving workflow and productivity.

The ANSI 835 can be automatically loaded into your accounts receivable system, allowing instant transfer of time-sensitive remittance data, in a fully secure, HIPAA compliant environment. Our team will work with you and your payers to ensure the necessary EDI enrollment paperwork has been completed, saving you time and money.

Manual Remittance Posting

We recognize manually posting payments from paper Explanation of Benefits (EOBs) is a tedious and time-consuming process. We can help. Send us your paper EOBs, and we will standardize the payment information into an electronic file that can be applied to your accounts receivable system weekly.

The system automatically links payments to respective prescription numbers for all claims submitted through OmniSYS. As a result, you'll experience fewer errors, save time and reduce DSO.

Patient Invoicing

OmniSYS Patient Invoicing utilizes remittance and real-time response information to identify outstanding patient cost share for Medicare claims with no secondary insurance coverage. OmniSYS invoices patients on your behalf, provides customer support for their invoice questions and posts payments received to the outstanding account.

Patient Invoicing services not only save time and money for your pharmacy/DME company, but also reduce compliance risk. Coordination of Benefits as it related to Medicare Part B is challenging as beneficiaries often do not understand their primary and secondary payer coverage. This may result in the beneficiary not paying or underpaying their coinsurance amount; patient invoicing is required to be in compliance with CMS regulations. Suppliers that routinely waive beneficiary coinsurance amounts by not attempting to collect from the beneficiary may be viewed as violating current Medicare laws related to beneficiary inducement.

OmniSYS Invoicing Services include:

• Posting of patient coinsurance/deductible payments and reconciliation of payment adjustments as necessary
• Monthly invoices to patients for outstanding coinsurance/deductible amount due
• Outreach attempts to patients to collect outstanding balances from patients including monthly invoices and reporting of outstanding balances to client collection attempts conducted in accordance with established client policies and procedures
• Management of all payments made from patients and primary, secondary and tertiary payers through a designated client account reported to OmniSYS
• Toll free phone support and dedicated fax lines to field patient questions relative to invoices