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MedLedger | Solutions for Independent Physicians

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You are here: Home / Back Office / Professional and Institutional Claims

Professional and Institutional Claims

MedLedger was designed to process claims exclusively through the Health Data Services Clearinghouse. We provide one of the lowest-cost systems that can electronically submit professional and institutional claims.  We have streamlined the process of submitting both types of claims; choose from a simple drop-down menu and your claims will be generated with either professional or institutional data.  Our services provide a seamless continuum to generate, format, and submit claims directly to Medicare, Medicaid, Tricare, Blue Cross / Blue Shield and other major payers.

  • User-Friendly visit screen to easily fill out your claim information
  • Electronically submit both Professional and Institutional claims from the same window
  • “Mixed” Encounters – Enter a single visit with Institutional and Professional elements
  • Claim History allows you to track your claims each step of the way

How does MedLedger claims processing work?
Using MedLedger, you may submit claims as often as you’d like. Your claims are sent to our proprietary claim processing engine, ClaimHub. ClaimHub then “scrubs” the claim data, i.e., compares your data to the information the specific payer requires. If the claim is missing information that the payer requires, you’ll know immediately so that you can correct it before the payer even sees the claim. This means faster reimbursement with all payers because your claims are filed accurately and processed more efficiently with fewer rejections. All claim types are Edifecs-certified to ensure they are HIPAA compliant.


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The Visit Screen
Institutional Data
Track Claim Submissions
Powerful, Efficient, and Simple

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