QuikClaims is a claim scrubbing and tracking system for practices that bill their own claims. QC Server checks every claim against a rules-based scrub engine and the federal exclusion list, meters it against your payer contracts, and tracks acknowledgments, denials and appeals. QC Client is the desktop application your billers work in. It runs on its own or connected to the iCare EHR.
Twenty rules run on every claim: NPI validity, diagnosis pointers and ICD-10 format, place of service against procedure, modifiers, units, charge outliers, authorization, timely filing and duplicates. Failures hold the claim with the reason; warnings travel with it.
Every rendering and billing provider is checked against the OIG List of Excluded Individuals and Entities, refreshed weekly. A match, a clear, or an honest "unknown" when the list could not be checked; never a silent pass.
Payer contracts and fee schedules on file; each claim is metered against the contract it belongs to, so expected reimbursement and contract limits are visible before submission.
277CA acknowledgments, denials with reason codes, and appeals are recorded against the claim and worked from a queue. Entries come from your payer responses; QuikClaims keeps the record and the timeline.
Post remittances against claims, with A/R aging and denial reporting by payer, provider and reason. AI assistance is available to draft appeal letters, and it is labelled as assistance.
Claim entry with a 33-box CMS-1500 output, local pre-scrub with the same rules before a claim ever reaches QC Server, submission, and claim status. Connects to iCare iBiller, or works alone.
Claims arrive from QC Client or iCare iBiller through the QuikClaims API, with the patient, provider, diagnosis and procedure detail the scrub needs.
Guardian runs its rules and the exclusion check. Errors hold the claim; warnings are recorded. The biller sees the field, the rule and the fix.
Clean claims are staged for transmission through your clearinghouse or payer connection. QuikClaims does not transmit claims to payers today; see the roadmap.
Acknowledgments, denials and appeals are recorded against the claim as the payer responds, and worked from queues with age and reason visible.
Remittances are posted against claims; aging and denial reports show what is outstanding, by payer and by reason.
Patient records, scheduling, clinical documentation, e-prescribing, documents, lab and imaging orders, referrals, reporting, and iBiller, which sends claims to QuikClaims.
QC Server and QC Client, as described on this page.
FHIR R4 document exchange with consent enforcement and a master patient index, for organizations that share records with each other.
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