EMSOW User Manual

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The Billing module

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider.

EMSOW’s Billing module allows you to add transactions using electronic claims, paper statements and superbills.

An electronic claim is a detailed invoice that a health care provider (such as a doctor, clinic, or hospital) sends electronically to a health insurer.

Paper statements are used when there is no possibility to send the claim electronically.

A superbill is an itemized form used by healthcare providers for reflecting rendered services. The superbill is the main data source for creation of a healthcare claim, which will be submitted to payers (insurances, funds, programs) for reimbursement.