Key components of the ORBIT EDI Solution include:
OEBIT® utilizes Batch or Direct Data Entry (DDE) features that are easy to use, access, and comprehend. The DDE forms resemble actual physician, hospital, and dental bills and are universally accessible at any time. There are many other features including: preloaded codes and drop down boxes and there is also built-in Eligibility Member verification.
The Orbit® Claims Manager offers complete control over Electronic Claims Submission, and offers salient features such as the "holding, deleting, replacing, voiding, and resubmission" of claims, for various circumstances. Copying claims is another key feature that allows Providers to pull up a "Copy" of an already submitted claim, Edit the required fields, and submit it electronically. This will greatly reduce the time to complete claims, for high-frequency patients and procedures.
Providers can submit Electronic Secondary and Tertiary Claims via ORBIT® to any of the Contracted Payers. Secondary and Tertiary Claims from already submitted Primary and Secondary Claims can be produced through ORBIT®, with all of the required details mapped from the prior Claim.
ORBIT® Batch Claims has the ability to electronically transmit 837 and non-837 formatted batch files for large and small volume claim submitters and allows for the batch submission of multiple Providers, all from one Account Log-In. Once batch claims are imported, then each claim can be individually managed, edited, deleted, held or released by the user.
ORBIT® Claim Attachment facilitates the upload of electronic attachments and documents that are required to be filed along with a claim.
Providers can execute Real-Time or Batch Eligibility requests via ORBIT®. Requests can be sent for patients and dependents and includes results from over 500 Contracted health plans. Responses detail patient's coverage, deductibles and co-payment rates.
Providers are able to view the status of claims that have been transmitted right in ORBIT®. Statuses can be requested on demand or are automatically returned from payers in the form of a report. Statuses include any notification, rejection or denial. Any claim status report or response can be exported into MS Excel for internal purposes.
ORBIT® parses payment information received from the health plans into a human readable report format that is presented to the user in the same view, regardless of which health plan returned the payment information. Additionally, the remittance advice details can be delivered in raw 835 files, which can be used to post directly into the office practice management or EMR system.