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Beverly Mile speaks out:
- In a nutshell, basically, legislation was instituted here
mandating that all doctors in the U.S. submit their claims electronically
(as of February 2001). Interesting, because 50% of all claims are now
submitted electronically via clearing houses. Seems to save the physicians
considerable amount of money, allow their nurses/workers to do other tasks.
- However, these claims NEED to be processed by someone. (Now, I attempted to
contact one of these "outfits." However, before I did, I did extensive
research and discovered on a consumer watch webpage that this business was a
SCAM).
- Back to the story: the claims need to be processed
electronically, thus requiring medical claims processing software! Yes,
you guessed it. The software companies (I suspect some unsavory outfits)
put together a group of these packets, along with 500,000 names of doctors,
etc. and are selling these software packages, along with lists, etc., how to
become a medical claims processor, etc. to the public.
- Sounds good? Well, try establishing yourself with some physicians after you've purchased the software and sent out hundreds of letters explaining that you can process
claims electronically (this package provides you with technical "training").
The consumer watchdog said that this is a SCAM and not to bite. One can
spend thousands of dollars (or pounds) attempting to establish a business.
- I don't know how these people get around it, but -- legally -- they do. So,
be wary of "medical claims processors" software. You can learn this, but
can you work at it? It seems that there are large companies already doing
this.
- Incidentally, the software sells in the range of $325 U.S. up to
$500.00 U.S. or more!!! Too bad we've lost our integrity and honesty --
some of us.
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