ProtoCLAIMS, the nation's first Web-based electronic claims product that automatically links claims with insurance payers who offer direct claims processing. ProtoCLAIMS, in essence, offers FREE CLAIMS (access to multiple payers who offer direct access into their claims systems) and commercial claims submission with the push of one button without ever leaving ProtoMED. Non-direct payers are automatically processed through a national clearinghouse. Claims status may be reviewed 24/7 from any Internet connection.

ProtoMED clients can place support calls directly into the Protologics Help Desk Center in real-time mode from anywhere in the world using typical Internet browser interfaces. ProtoMED clients can view all support incidents and associated activity. Clients can sort their incidents by keywords, dates, and opened or closed status. The "ProtoWEB" is also used to deploy new releases and review account status.

Our online claims management product allows for real-time access to all insurance claims. Once displayed, claims may be instantly sorted by last bill date, patient name, insurance name, amount owed, and other combinations enabling claims to be worked visually, in an online format. Click on a claim and view unlimited billing history complete with bill date, form type, and bill source. Click again and go directly to the charge ledger to view the line item in context with the entire record. Or, you may re-bill the claim with one click! ProtoMED also provides the typical claims management reports for insurance summary & detail reporting.

ProtoCHART provides for a seamless interface between billing, scheduling, and clinical records.The provider uses a pen tablet to retrieve and create a complete clinical history. Every visit is clearly displayed with date and reason for visit. Templates are generated by each clinician base on personal preferences.

A standard data entry screen employs one common entry field for multiple search criteria. The entry field is "interpreted" by ProtoMED and the resulting query is presented for data selection. Therefore, access via name, partial name, account number, social security number, partial soc-sec, phone number, responsible account is all interpreted from one "entry field" upon accessing the patient records, charges, or scheduling modules.

All components of a patient account may be accessed directly from any other component; therefore, a patient's demographics, charges, and schedule can all be accessed from one another via the click of a button.

ProtoMED automatically archives all reports through its Reports Manager product so that any report may be reviewed or printed at a later date - in its original format. Most typical systems do not allow for the reproduction of time sensitive financial reports such as A/R or financial analysis months after they are produced.

Online ICD9 codes are incorporated into the charge process. The ProtoMED ICD9 Index enables access by any diagnostic keyword, regardless of its place in the ICD9 description - easier to use than the back of the book!

Facilities exit billing with very little data entry directly from the scheduling window. In most cases, multiple line items may be billed with total accuracy by pressing one button.

ProtoMED automatically archives all reports through its Reports Manager product so that any report may be reviewed or printed at a later date - in its original format. Most typical systems do not allow for the reproduction of time sensitive financial reports such as A/R or financial analysis months after they are produced.

Patient appointments are linked to providers and support staff, reasons for visit, special rooms, or required devices - all from the ProtoMED scheduling screen. Once scheduled, all components including individual time elements are documented using one integrated scheduling process.

ProtoMED automatically archives all reports through its Reports Manager product so that any report may be reviewed or printed at a later date - in its original format. Most typical systems do not allow for the reproduction of time sensitive financial reports such as A/R or financial analysis months after they are produced.

ProtoMED allows for the concept of Undistributed Payments, wherein the full value of any amount received may be entered into the system without immediate distribution. This concept allows for complete audits of daily cash where cash totals are equal to actual deposits in real-time mode. An Electronic Distribution Log is generated to reflect EOB distributions. The Undistributed Payments Screen is also used as a holding area for Electronic Reimbursements prior to check receipt.

Reimbursement trends are learned by the ProtoMED system - data entry of tables is not required. Variances in payments or allowances are flagged in real-time mode. Analysis is available by procedure code and a grouping of all insurance payments.

Automatic collections parameters can be established to create statement messages, special collections letters, or initiate internal collections procedures during statement processing. Internal collections are managed from one central screen. Line items can be moved to inside collections based on number of days or number of statements.

The ProtoMED Managed Care module provides for automatic appraisal of active referrals during the charge process. Referrals are tracked for compliance by dates, amount, number of occurrences, and treatment plan.

ProtoMED databases directly interface with Microsoft Office Products or any other SQL product including ORACLE, SYBASE, or other popular relational database products. This connectivity allows for end user development of special reports or spreadsheets.

Highlights