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P.E.P.I Basic PLUS MediClaim Works

$2,274.00 – $6,499.00

Unlock the full potential of your dental practice with our Provider Enrollment & Practice Information (PEPI) Validation services PLUS Change Healthcare RPA portal setup for the implementation of medical billing. We specialize in simplifying and enhancing your credentialing and validation process.

 

 

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SKU: PEPI Basic Plus CH

Description

Provider Enrollment & Practice Information (PEPI) Validation Services PLUS  MediClaim Works Setup

Our PEPI Basic Plus program adds the setup of MediClaim Works.

Our Provider Enrollment & Practice Information (PEPI) Validation services are tailored to streamline and optimize your medical billing processes. Here’s what you can expect:

  1. CAQH Profile Management: We assist in the creation or update of your CAQH profile, ensuring it aligns with the latest medical billing standards and requirements.
  2. NPPES Information Management: Identify and address any necessary updates to your personal (NPI 1) or organizational (NPI 2) NPPES information, ensuring accuracy and compliance.
  3. Legal Business Verification: We verify your Legal Business Name with the Secretary of State and/or IRS
  4. Payer Access Facilitation: We streamline the process of gaining access to payers’ medical databases. This includes the submission of out-of-network documents to major insurers like BCBS and UHC.
  5. Compliance with Major Insurers: Our services include the submission of required online information to Aetna, Cigna, and Humana, tailored to meet the specific requirements of each state.
  6. Availity Account Modification: We modify your Availity account to facilitate open access for medical payers, ensuring efficient communication and data exchange.

Our PEPI Validation services are designed to enhance the efficiency of your practice’s enrollment processes, minimize administrative burdens, and ensure compliance with the ever-evolving landscape of medical billing.

Partner with us to navigate the complexities of provider enrollment seamlessly. Your success is our priority.

PLUS MediClaim Works

The MediClaim Works Revenue Performance software stands as a formidable resource for dental practices aiming to independently navigate medical insurance billing. T.A.G is poised to facilitate your seamless integration into the MediClaim Works portal, offering comprehensive setup and training services. Moreover, our team is available to provide expert assistance in the implementation of medical insurance billing. Count on our dedicated professionals to guide you through every stage, ensuring your success in maximizing the capabilities of the MediClaim Works software.

MediClaim Works services include:

  • Order the MediClaim Works contract with basic features to enable medical billing (Eligibility, Claim Status Inquiry, ERA, and Claim Submittal)**
  • Setup the MediClaim Works portal with 1 Tax ID and 1 Provider unless additional providers are purchased
  • Create a customized Payers List for easy payer selection
  • Enroll provider for electronic billing

**MediClaim Works charges a monthly fee to use their software.  You will receive a separate contract from MediClaim Works with their terms and fees.  Fees are based on transactions used within the software.  Our fees do not include the MediClaim Works monthly fees.

Term of Agreement

The terms of this agreement are agreed upon by purchasing the service.  The purchaser, (the Client) and Transition Acceleration Group LLC, (the Company) agree as follows: Services will begin once all information has been entered into the PEPI portal.  Portal links will be sent to the email provided at the time of purchase.

The term of this Agreement (the “Term”) will begin on the date of service purchased and will remain in full force and effect indefinitely until terminated as provided in the Agreement. In the event either Party wishes to terminate this Agreement, that Party will be required to provide 30 days written notice to the other Party. Except as otherwise provided in this Agreement, the obligations of The Company will end upon termination of this Agreement.  Once services begin, no refunds will be issued.

PERFORMANCE

The Company and its employees and contractor will act in the best interest of the Client. The Company agrees to do everything necessary to ensure the terms of this Agreement take effect.

CONFIDENTIALITY

Confidential information (the “Confidential Information”) refers to any data or information relating to the business of the Client which would reasonably be considered to be proprietary to the Client including, but not limited to, accounting records, business processes, and patient information and that is not generally known within the dental industry. The Company and its representatives shall agree not to disclose, divulge, reveal, report, or use any Confidential Information which The Company or one of its representatives have obtained, except as authorized by the Client.

CAPACITY

In providing Services under this Agreement it is expressly agreed and understood that The Company and its associates, affiliates, and employees is acting as independent contractors and not as an employee of the Client. The Client and The Company acknowledge this Agreement does not create a partnership or joint venture between them and is exclusively a service contract.

LIMITED SCOPE

The Company shall not offer tax or legal advice and shall seek the advisement of the Client's legal and tax team to provide direction as necessary. Any expenses associated with conversations, advice, or directives of legal and tax issues shall be at the expense of the Client. When working with the Clients tax or legal team it shall be in the best interest of the Client. The advice that we give to you is for your sole use and does not constitute advice to any third party to whom you may communicate it. We will provide the professional services outlined in this Agreement with reasonable care and skill. However, we will not be responsible for any losses, penalties, surcharges, interest, or additional tax liabilities arising from the supply by you or others of incorrect or incomplete information, or from the failure by you or others to supply any appropriate information or your failure to act on our advice or respond promptly to communications from us.

INDEMNIFICATION

Except to the extent paid in settlement from any applicable insurance policies, and to the extent permitted by applicable law, each Party agrees to indemnify and hold harmless the other Party, and its respective directors, shareholders, affiliates, officers, agents, employees, and permitted successors and assigns against any and all claims, losses, damages, liabilities, penalties, punitive damages, expenses, reasonable legal fees and costs of any kind or amounts whatsoever, which results from or arise otto f any act or omission of the indemnifying parties, its respective directors, shareholders, affiliates, officers, agents, employees, and permitted successors and assigns that occurs in connection with this Agreement. This indemnification will survive the termination of this Agreement.

GOVERNING LAW

This Agreement will be governed by and construed in accordance with the laws of the State of Georgia.

 

SEVERALTY

In the event any of the provisions of this Agreement are held to be invalid or unenforceable in whole or in part, all other provisions will nevertheless continue to be valid and enforceable with the invalid and unenforceable parts severed from the remainder of this Agreement

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