Pradeep Vangala described the system in play at the HIMSS 2010 Conference, noting that nearly 45 percent of its patients are on Medicare, one of three payers that support real-time adjudication. The other two are Humana and the Florida Blues plan.
Vangala described how the transaction occurs. First, a charge is entered into the group's practice management system, from Allscripts. The claim is dispatched electronically, through a clearinghouse. The payer calculates the payment and patient responsibility automatically, notifying the group.
Patients are notified of their portion of the cost through a kiosk, from NCR, which is interfaced to the practice management and electronic health records systems. Patients are prompted at the kiosk--which also handles registration at the front-end of the visit--and can pay using a credit card.
--Gary Baldwin
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