Iris Clinic Claims has a full set of features

Claims Management screens
Managing claims can quickly get to be an overwhelming task. What you need is Clinic Claims triggers to proactively prompt you for action on a specific claim. Very different from typical billing software that passively displays screens with little more than date when a claim was filed. Our Claims management desktop allows you to organize and manage claims easily. You can view progress of a claim every step of the way. You can sort or filter the claims based on multiple parameters to help you manage the claims. You can submit a claim to clearinghouse in real-time. Any rejections may be edited immediately and resubmitted.

Payment posting screens
The payment posting screen allows you to details of multiple patients from an EOB in a single screen. While posting a payment it allows you to view details of previous payment on the claim to determine the breakups and enter them.

Receivable management screens
Receivables is typically the most ignored aspect in medical billing.

Instant Claim error check
This feature will help you eliminate errors before submission by validating each field. This reduces rejections and speeds up your revenue cycle.

On-Track Claim tracking
Set aside any fears about misplacing superbills or face-sheets and losing revenue. Once the patient appointment is marked on Iris Clinic Scheduler, the visit is automatically tracked through the end of claims. At each stage in the claims process, the user can view detailed status of claims including from where the payments have been received.

Issue Manager
Clinic Claims has built in issue manager to facilitate communication between your office and the biller. All notes are recorded and retained for reference

Insurance Card scanning
No more photocopying and filing insurance card. No more faxing insurance card to the billing company. You can scan and attach the insurance card directly to the patient saving you time and improving claim accuracy.

Automatic clearinghouse signup
Iris has chosen Zirmed, an Inc 500 company, as our clearinghouse of choice. You can also choose to submit claims to a number of other clearinghouses. We will also help you enroll for electronic submission with your payers.

One-click electronic submission
You no longer have to create a print image and then upload that batch to a clearinghouse website. Iris Clinic Claims eliminates all the painstaking task of manual submission by direct integration directly with the clearinghouse.

ICD/CPT lookup
Clinic Claims has built-in ICD/CPT lookup by code or description. The ICD/CPT codes are kept in a personalized store so that you can quickly pull in frequently used codes. Master codes are also available for situation when you need to lookup codes that are not frequently used. The master codes are updated frequently.

Fee schedule Master
You can set up a fee schedule master for frequently used CPT codes so that the fees can be automatically pulled into the claim.

Paper claim print option
For payers that do not accept electronic payment, you can choose to submit the claims on paper. You can choose to preview the claim before printing. Also the software allows you to manually customize the alignment of the data printed specific to the alignment needs of your printer. Currently Clinic Claims supports only CMS 1500 format.

True-Glue Integrated Clinic Charts EMR
While the competition has been talking about an integrated EMR and practice management solution, Iris has already gone ahead and built it. You require no integration software to make your EMR talk to billing software. Clinic Charts and Clinic Claims modules shares the same data store to make this a truly seamless integration.

PocketBilling PDA Charge Capture
Now you have a technology that keeps pace with you. Iris has partnered with PocketMed’s PocketBilling Charge Capture software. Now you can record your charge capture whether you are doing hospital rounds or nursing home visits—synchronizing the charges with Clinic Claims is a snap.

Patient statement generator
You can customize, preview and generate Patient Statements that need to be mailed out.

Management reports
You no longer need to wait for reports from your billing company. You can directly generate the reports online anytime you want.

Revenue management services (Optional)
If you are looking to outsource your billing services, our in-house billing team may be the ideal solution. For more details on our billing service, see details of our billing section here

Iris-Feature request guarantee
You request your favorite feature through user forum and you will likely find that feature implemented within 2 weeks. We have been building and enhancing the system based on your feedback and we extend that guarantee to you. To request a new feature, click here.

Auto-update manager
Software releases are at best quarterly with other solutions. With Iris, you have weekly releases reducing time for a fix or a new feature to be implemented. Best of all, you are not forced to go through an install each time. The software automatically checks for a new release, and if one is available, it automatically downloads the new software and self installs. If you are on a corporate network your automatic upgrade will likely be completed in a minute. No more waiting for months for a fix; no more requesting your IT person to install the new software for you. Clinic Claims really makes updates instant and painless.

ASP solution
Clinic Claims is a hosted solution in Application Service Provider (ASP) model. We manage all complexities of maintaining the software and hardware. In addition, you do not have to purchase high cost equipment such as server, network or backup infrastructure saving you thousands of dollars. A desktop or laptop is all you require at your end. In conjunction with Auto-update manager, this is a powerful solution to provide you the best features at a low cost.

Anytime, Anywhere
As a hosted solution, your data remains accessible to you anytime of the day or night. You can access it from your home or from work as long as you have broadband internet access.

Auto-Backup
With most solutions you are forced to manually backup data each time. You need to install a separate backup solution to ensure safety of backup data. With Clinic Claims your data is automatically backed up several times during the day. We ensure business continuity by shipping your offsite to protect against loss of data in the event of a catastrophe.

Secure
Our security is implemented at each touch point within the system to protect patient privacy. Users are authenticated through user id and password. Data transmission is encrypted to prevent eavesdropping. Data is hosted at isolated network center with physical access provided only to authorized personnel. Networks are protected from hackers through firewalls and multilayered deployment architecture.

Multi-location support
Clinic Claims is a powerful solution that can be deployed across locations for large practices and physician groups. You billing team could be distributed within a single network or across the nation. You could be working with outsourced agency. Your providers may need to have access from their home. Whatever your need be, there is no need to set up expensive VPNs or direct network links; Clinic Claims solution can be securely deployed to suit your workflow.

Network Redundancy & Continuous Uptime
Our servers are hosted on high availability servers with redundant high-speed network connectivity to internet backbone to provide a near 100% uptime.

Integrated Customer Service
If you have a question, you can click on ‘Chat’ button on the software and be connected to customer support. No more phone calls or being put on hold. You can chat with our trained associate who will help you instantly. You can also send them an offline message and you will get a response back when you log into Clinic Claims.

Knowledgebase
This is a great starting point when you are new to Clinic Claims solution. It has online training web-casts and manuals that will help you get started. You will have access to our knowledgebase with answers to frequently asked questions.