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ProxyMed Clearinghouse

To sign up for electronic claims, you will need to fill out the necessary information in the "Electronic Claims Setup Packet." To download this packet in Adobe Acrobat "PDF" format, click on one of the following buttons:

You can save over $5,000 a year with a $79 monthly fee of unlimited electronic claims from ProxyMed!!!
 
ProxyMed's Electronic Claims Filing is HIPAA Compliant.

ProxyMed Electronic Claims Filing Service
for Medicare, Medicaid, Blue Cross, Blue Shield
and Commercial Carriers:

Providers
Price
1
$79.00 per month
2-5
$158.00 per month
6-10
$250.00 per month
10+
Call 866-372-3616 for Special Pricing
Enrollment Fee
$199

Printed Claims

$0.47 per claim

Electronic Patient Statements 1st page: $0.67
Additional pages up to 4: $0.17

Electronic Remittance Advice

Free for Medicare
$29/month/practice for All other Payors


Payers

900

New Host Status Transmission Modem
Software Requirements Lytec Medical 2006 or Higher

Billing Services, radiology, and laboratory are not eligible for flat/multi-physician pricing. Pricing for these sites is 0.39 per claim with FREE Commercial Claims. Paper claims are an additional 0.39 cents per claim for all price plans.

A twenty-four (24) month Electronic Data Interchange Customer Contract between McKesson and the Provider is required reflecting End User Rates above.

Providers who currently have an effective Electronic Data Interchange Customer Contract and who choose to authorize McKesson to electronically debit their checking account or charge their credit card for monthly fees by no later than March 1, 2005, shall be offered the reduced End User Rate for Electronic Claims/Encounter Submission (flat fee pricing) of $72.00 per provider per month for a one provider practice, $144.00 per practice per month for a 2-5 provider practice, and $228.00 per practice per month for a 6-10 provider practice. Such reduced End User Rate shall be applied to the provider's account effective thiry (30) days following 2K Medical's receipt of the provider's fully completed ACH Debit Authorization form.

 

ProxyMed Acquires MedUnite From Nation's Seven Largest Payers

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--Jan. 2, 2003-- Acquisition Adds 90 Million Healthcare Transactions, 30,000 Physicians and Almost $20 Million in Annual Revenue, Bringing Preferred Relationships With the Industry's Largest Payers ProxyMed, Inc. (Nasdaq:PILL), a leading provider of physician office transaction processing services, today announced that it has acquired 100% of the capital stock of MedUnite, Inc., a private company founded by seven of the nation's largest health insurers, for $10.0 million in cash and $13.4 million in 4% convertible debt. MedUnite shall be operated as a wholly-owned subsidiary of ProxyMed.

This acquisition unites ProxyMed's physician claims platform -- the nation's second largest -- with MedUnite's real-time Internet-based platform -- one of the largest in the industry. In conjunction with the acquisition, ProxyMed has formed a strategic relationship with McKesson Corporation (NYSE:NDC) to process claim and real-time transactions generated from the 100,000 physician clients on their Lytec and MediSoft practice management solutions. The acquisition of MedUnite by ProxyMed will create an organization with over:
  • $70 million in annual revenues
  • 140,000 physicians and other healthcare providers
  • 200 million healthcare transactions processed annually

"ProxyMed's acquisition of MedUnite will create the nation's second largest physician-based transaction processing company, second only to WebMD (Nasdaq:HLTH). We are excited by this opportunity to significantly grow our business while expanding our relationship with our payer partners and McKesson," said Michael Hoover, Chairman and CEO of ProxyMed.

"The strategic relationship between McKesson and ProxyMed for physician claims transactions and automated enrollment processing will significantly benefit both companies," said Walter M. Hoff, Chief Executive Officer of NDC Health. "ProxyMed has built a solid and seamless network of physician and institutional connectivity solutions with excellent customer service levels. The addition of MedUnite's suite of products and services truly creates one the industry's most impressive offerings." The process to select the purchaser of MedUnite was extremely competitive and involved many of the major industry players. Among other reasons, ProxyMed was selected due to (i) its existing relationships with each of the founding seven insurers, (ii) its industry leading FOCUS program for converting paper submitting physicians to electronic transactions, and (iii) its ability to provide a full service alternative platform to the payer and provider marketplace, one of the goals of MedUnite's founders.

In addition, ProxyMed will expand and build on MedUnite's state-of-the-art network platform for processing real-time transactions. That network has direct real-time connectivity to all seven founders for processing transactions such as eligibility, claims status, referrals and authorizations. ProxyMed plans to cross-sell these new transactions to its existing 110,000 physician clients, creating a large potential for transaction growth.

"This is a major step forward in ProxyMed's long-term strategy to become the leading provider of transaction processing capabilities in the healthcare industry," said Braden Kelly, Partner with General Atlantic Partners and ProxyMed Board Member. "Given MedUnite's payer founders and the investment they have made in the company and its technology, it is a unique asset in the industry. Through this transaction, ProxyMed has solidified relationships with its payer partners, significantly expanded its physician network base, and expanded its real-time transaction processing capabilities. We are enthusiastic about the potential of the combined company."

"With the MedUnite technology established, the MedUnite founders wanted to expand the availability of the technology to the maximum number of physicians as quickly as possible. After a rigorous evaluation process, the founders decided to merge MedUnite into ProxyMed as the best way to achieve the critical mass needed to maximize physician adoption for these new and important services," said Jay Gellert, Chairman of the Board of MedUnite and Chief Executive Officer of HealthNet.