Miracles Software

Clearinghouse Options

EDI, ERA and Eligability for Medisoft

In today’s fast-paced world why can’t you get paid faster? Well you can. The answer is EDI and ERA. Through the partnership of Miracles Software and select Medisoft-compatible clearinghouses you can submit claims electronically, instantly. You can, and should, also choose to receive EOB’s and remittances electronically. Why not get paid eight times faster than traditional paper? Just consider the reduced staff time processing claims and remittance, not to mention the profitability.


Simple 837 & 835

Sometimes all you need is a little simplicity. With the Simple 837 and 835 solution you're able to transmit ANSI 837 directly to the clearinghouse of your choice. Additionally, you may receive in 835 format for remittances and apply payments in Medisoft. Call Miracles Software today to learn more about the Simple 837 and 835 forms, and how it can make your day just that much simpler!

Gateway EDI

A Miracles Software partner for years, Gateway EDI provides electronic claims processing, electronic remittance and secondary claims processing services. Gateway's secure website allows clinics and billing companies to transmit their claims through the use of an 837 file or print file. The cutting-edge website available at Gateway provides realtime claim status inquiries, eligibility verification and submission troubleshooting. 

Gateway users can choose from a flat per claim fee or an unlimited subscription package. Additionally, Gateway assigns an account rep to every new clinic for the first 30 days to ensure smooth transition. 

With Gateway EDI, current Miracles Software members will enjoy a low monthly flat fee, reduced rejection rate, unlimited customer service and faster payment. Gateway EDI doesn’t just process transactions for their clients, but actually improves their revenue potential - while saving them work through superior tools, expertise and customer service.

The Gateway remittance service automates the entire remittance process from retrieval to processing for posting of the actual remittance advice within your billing system. Electronic remittance combats delays by capturing the remittance advice information retrieved from payors and assimilating it for accelerated payment processing. 

When you integrate the Claims and Remittance Services with Web-based claims management and editing tool, you can further streamline workflow due to fewer rejected claims and faster turnaround and payment. Call Miracles Software today and discover why Gateway is a consistant customer favorite!

RelayHealth & Revenue Management

RelayHealth, and the new Revenue Management solution for Medisoft is the latest evolution in electronic claims and remittance procesing. Collecting revenue in a timely manner is critical to financial performance. The new Revenue Management solution fully integrates with Medisoft to transmit claims, receive remittances and post payments to your Medisoft practice management software. Revenue Management utilizes the RelayHealth clearinghouse network, a subsidiary of McKesson.

As the market leader in healthcare connectivity services, nobody understands this better than RelayHealth. Which is why RelayHealth provides so many intelligent solutions to help maximize revenue. 

With the click of a button, RelayHealth lets a practice transmit a full day’s schedule to obtain eligibility information from most payors; responses retrieved directly from the payors offer accurate and up-to-date information. This not only saves time by eliminating lengthy phone calls to payors, but accelerates cash flow by enabling immediate patient collection payment for any treatment not covered by insurance. 

Electronic claims and remittance processing enable accurate claims submissions and help reduce rejected claims. Filing electronic claims also ensures payment in half the time of paper claims. Once through the payor’s system, the practice receives notification of what the payor will pay on the claim in an electronic format. 

Are you ready to experience the next generation of claims submission and management? Call Miracles Software today and learn more!



Zirmed Claims Managment

ZirMed's Claims Management solution allows Healthcare providers to get paid more quickly. Our solution supports both professional (HCFA 1500) and institutional (UB92) claims and can accept them in ANY format, including all versions of the National Standard Format (NSF), print files, ANSI X12 837, and proprietary data formats. ZirMed's innovation and flexibility are highlighted by our ability to support your practice management or information management system with little or no integration. We make legacy systems efficient again.

ZirMed's innovative real-time claims submission process allows you to submit a batch of claims. We forward those that are “clean” and immediately return those we are unable to validate at our initial edits. Claims are sent to payers in real-time, where supported by the payers. Our Claim Tracking feature allows you to follow the progress of the claim every step of the way, from submission to payment. ZirMed gives you an audit log of the claims' progress. Payer acknowledgements are reflected on ZirMed's system.

ZirMed provides extensive tools to assist in the management of your claims. Our Rejection Analysis engine categorizes rejected claims by reason in plain English language, and allows users to address issues affecting the highest number of claims first for resubmission. Common rejection reasons may be identified and steps taken to increase first pass rates. Rejected claims may be edited on-line and immediately resubmitted.

We support certain claims attachments, as allowed by payers. We even offer electronic filing of secondary claims by linking the primary claim to an individual EOB (explanation of benefits), available electronically. Call Miracles Software today and being experiencing the power of Zirmed within 48 hours!