Products & Services
Enrollment
Enrolling with NEBLUEconnect is as simple as providing us with
information about your EDI capabilities and needs, entering into an agreement
and certifying your test transactions.
Contact an EDI Account Manager
if you have any questions about any of the following enrollment steps:
Howard Jones
BCBSNE
NEBLUEconnect
PO Box 3248
Omaha, NE 68180
One agreement will be signed by a representative of BCBSNE and returned to you.
An EDI Account Manager will contact you regarding the certification and testing
process. Once you are certified as a Trading Partner and testing is complete,
you will be approved to send production files for processing.
PC-ACE
PC-ACE Pro32 is a complete, self-contained electronic claims processing system.
It can be used in a stand-alone configuration or in conjunction with your
existing claims management system. Designed exclusively for Microsoft Windows,
NEBLUEconnect's PC-ACE is the latest generation of MedLink Technologies'
electronic claims processing systems that have been successfully serving the
healthcare community for over ten years.
New users who have received a letter from us with instructions and passwords to
install PC-ACE can click here to:
- Get help to
install PC-ACE the first time.
- Then
download the full version of PC-ACE. (Version 31, October 2009)
Users who have already installed PC-ACE and subsequently received a letter about
upgrading to a newer version:
- First, follow these
steps to installing the update.
- Then, click here to
download the update. (Version 31, October 2009)
PC-ACE Key Software Features
PC-ACE Pro32 is a comprehensive claims management system. Some of the more
prominent features include:
- Institutional All-Payer and Professional claims system
- Electronic submission of claims and documents in ANSI-837 formats
- Flexible claim import from existing systems
- Remittance translation/export to existing systems
- Comprehensive real-time claims editing minimizes rejected claims
- Field-level edit validation provides immediate user feedback
- Automatic code validation (diagnosis, procedure, etc.)
- Detailed claim import & edit validation error reporting
- Context-sensitive pop-up selection lists speed claim entry and promote
accuracy
- Prints Institutional and Professional claims on plain paper or pre-printed
forms
- Maintains claim payment history
- Unattended scheduling of claims activities
- Integrated backup, restore and file maintenance functions
- Familiar Microsoft Windows "look and feel"
- Comprehensive on-line help system
- Ongoing maintenance, updates and enhancements
- PC-ACE Pro32 Implementation and Testing Guide
Minimum System Requirements for Installing PC-ACE
- Pentium 133 MHz processor (Pentium II-350 for larger claim volume)
- 64 MB system memory
- CD-ROM drive (recommended for server installation)
- SVGA monitor resolution (800 x 600)
- Windows 98, 2000, Me, XP, or NT 4.0 operating system
- Adobe Acrobat Reader Version 4.0 or later (for overlaid claim printing)
Watch a
PC-ACE software demo!
Blue Cross and Blue Shield of Nebraska Printable
Electronic Remittance Software (BPERS)
BPERS is desktop software that allows you to view, print and archive
standard electronic remittance advice reports generated by BCBSNE. BPERS uses
the standard ANSI 835 Electronic Remittance Transaction (ERA), which contains
more detailed information about the claim than the BCBSNE legacy paper
proprietary remittance advice. BPERS will sort the BCBSNE remittance information
alphabetically or by Patient Control Number.
Print only the information you need whether it’s for just one patient or for all
the patients on that payment. You select the records you want to print. The
remittance files you download from NEBLUEconnect can be saved so you have
the ability to create an electronic archive of your BCBSNE remittance advices.
Any time you need another copy you can access the file - on demand!
To obtain a version of BPERS that is created specifically for your office,
contact an EDI Account Manager. When you receive your version of BPERS, you will
also receive installation instructions, or you can
download them here.
Certification
Our
certification tool validates the ability of the submitter to send
transactions that meet ANSI standards and certain BCBSNE business rules which
are included in our
Companion Documents. Once certified in a transaction, a user will be
approved to send electronic transactions in the ANSI format to BCBSNE in
production mode for adjudication.
The certification process begins when electronic files are uploaded by the
trading partner to an interactive certification tool. This user-friendly
interface is submitter-driven and allows trading partners to work at their own
pace. Users self-certify their transactions and receive real-time validation and
troubleshooting resources.
Requirements for
Professional Services - 837I
Requirements for
Professional Services - 837P
Training
Our EDI Account Managers provide the following training for PC-ACE electronic
transmissions software:
- How to configure your PC-ACE software
- How to use your PC-ACE software
Training is available by telephone, online, at your office or in our office. If
you are interested in a training session, ask your EDI Account Manager about
organizing such a session.
Electronic Remittance Advice (ERA)
What are the benefits of electronic remittance advices?
Electronic Remittance Advices help improve your business office workflow and efficiency. The ERA can be automatically loaded in your accounts receivable system increasing productivity and level of care.
How can I start receiving Electronic Remittance Advices?
Please complete this form and fax or mail it in to get started!
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