The Lytec/MedOffice™ Electronic Billing Cycle:

Stage 2: Events at the Billing Service

In the evening, the Billing Service downloads via modem all newly entered information from MedOffice at the practice. Once the claims information has been transferred to the Billing Service system, the Billing Service then files all claims electronically, applies all payments and EOBs received, prints patient statements and updates all management reports and information infrastructure. The Billing Service then performs the "Upload Routine" which automatically updates or "Refreshes" all patient data files in the MedOffice software at the medical practice!


Doctor's Office - uses MedOffice™

The insurance carrier receives & reviews the edited claims, then issues and mails payments to the doctors.


Insurance Company
Billing information flows electronically two ways between your billing service and your client, the medical pratice. Doctor's computers are updated with daily activities and reports.




MedOffice™/Lytec
Electronic
Billing Cycle




The clearinghouse performs further edits and forwards the claims to the appropiate insurance company. The clearinghouse also send claims reports back to you electronically. 		Your Billing Service - uses Lytec
You, the Billing Service, perform billing functions and send claims electronically to a national clearinghouse.


Clearinghouse


Stage 3: Events at the Insurance Company

Insurance companies receive and process the error-free electronic claims in timely manner. Then, mail the payments along with the Explanation of Benefits (EOBs) to the medical practice, to the billing service, or to a pre-arranged lock box at a local bank.

If the payments and EOBs are mailed directly to the medical practice, the provider’s staff will do the following:
  1. Examine the EOBs for accuracy,
  2. Make Bank Deposits,
  3. Fax copies of the EOBs and payment checks to the Billing Service for posting (pick up can be arranged),
  4. The Billing Service posts the EOBs and applies all payments into its computer system (into Lytec software) and send via modem (upload) the posted transactions into the MedOffice™ software at the medical practice.
If EOB's and payments are mailed directly to the Billing Service, then the Billing Service will:
  1. Examine the EOBs for accuracy,
  2. Make Bank Deposits in the medical practice bank account and fax records to the medical practice,
  3. Post all EOBs and payments into the Billing Service computer system (Lytec) and run the "Upload Routine". The Upload Routine will updated MedOffice™ at the medical practice with the newly posted information.
If EOB's and payments are mailed to a lock box at a local bank, the bank personnel will:
  1. Fax copies of payments received and EOBs to both the medical practice and the Billing Service,
  2. Make Deposits in doctor’s Bank account,
  3. The Billing Service posts the received EOBs into its computer system (Lytec) then update computers at the medical practice (MedOffice™) with the new information.


Lytec/MedOffice™ Electronic Billing Cycle