Agencies can easily update consumer information and create custom reports.
ETS software will create an 837 batch file of your attendance record, which can be uploaded to Mass Health or any provider that accepts this format. Once attendance is entered, complete the billing cycle by uploading your 837 file to MassHealth and ensure acceptance by checking 999 files.
We receive an 835 remittance file directly from MassHealth, it gets parsed out by provider and uploaded to our secure site so providers can download. Each provider has their own username and password to access the 835. Our customer can then import the file directly into the ETS software.
The ETS software can also be used to track rejections which can be resubmitted directly through the software without having to enter the claim again.
For agencies that do not have the onsite resources or expertise to do their billing, Dayhab billing can also be managed by ETS through our Service Bureau. We check eligibility weekly, ensure payments are reconciled and process any rejections or waivers needed. Our mission is ensuring your cash flow is not disrupted.
Our Service Bureau has the expertise needed to recover unpaid claims, even if they are over 90 days. If you are an agency looking to recover funds, please call for a consultation.
We have helped many agencies recover funds by submitting 90 day waivers to MassHealth, and on the rare occasion, submitting claims for final appeal with great success. In the past year alone, we have helped an agency recover over $500,000 in funds.