North Shore Billing Services, Inc.
27113 Brookpark Road Ext. #111
North Olmsted, Ohio 44070-3183
Phone: (440) 885-9560
FAX: (440) 779-2242
Billing services for health care practitioners with specialization in
Contents of Page
Electronic Claims Submission
North Shore Billing Services accepts billing claims
electronically from medical practitioners, validates data,
and submits them on electronic media to the Ohio Bureau of Workers'
Compensation. Claims may be submitted for processing by OBWC or
one of the Managed Care Organizations (MCOs).
Media and Formats
Claims to the Ohio Bureau of Workers' Compensation are
normally submitted to North Shore Billing Services, Inc.
from an MS-DOS compatible system using dial-up phone lines.
Standard baud rates from 1200 to 57600 baud are supported as
well as error correcting and data compression protocols.
Submissions are controlled by BAT files and KERMIT script
files (TAK files). NSBS, Inc. provides these BAT and TAK
files at no charge to the customer. Currently, all of our
customers are using MS-DOS compatible systems. Other
machines and operating systems which have a version of KERMIT which
supports both windowed packets (preferred) and a script
language (required) may be used. However, versions for
these other systems have not yet been developed and tested.
Accepted alternate Submission Media (at slightly higher fee) are:
- 1600 and 6250 bpi, 9-track, industry standard magtape, in ANSI or
FOREIGN formats (either ASCII or EBCDIC).
- MS-DOS 3.5" or 5.25" floppy diskettes in all sizes except 2.0M.
- Macintosh OS 3.5" floppy diskettes in all sizes except 2.0M.
- Electronic submission using X-, Y-, or Z-Modem.
Supported Data Formats
Currently we support submission of claims of data extracted from data
bases of the following vendors:
Trumbull Business Systems
Medical Data Systems
Doctor's Office Management System
CompuMedic Data Strategies
and several proprietary formats
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E-Z-Comp - OBWC Claim Billing Software
North Shore Billing Services, Inc. has developed, E-Z-Comp, PC-based software for the management and submission of claims to Ohio Bureau of Workers' Compensation. This software uses database technology and is implemented in Fox-Base. The software is specifically designed for and currently only permits submission of claims to the Bureau through NSBS, Inc.
Setup and licensing fees for the software are:
Machine requirements are:
- a one-time setup fee of $100 per site. This includes software installation and two-hours of training. Additional training is available at $50.00 per hour.
- a license fee of $30 per month. This license fee will be billed with your other monthly services.
Software features include:
- an IBM compatible 386, 486, or Pentium PC with at least 2 megabytes of memory and MS-DOS 3.3 or higher. (A 4 megabyte 486 PC is recommended.)
- at least 10 megabytes of hard disk space
- an internal or external modem (and phone line) capable of communicating at any standard baud rate between 1200 and 56K.
Version 1.06 of E-Z-Comp is currently available. Recently added features include:
- minimum number of key strokes to enter data
- user maintainable diagnosis code, service code, and service charge tables
- rejected claims may be edited and re-submitted rather than re-entered
- patient/claim lookup by patient's last name, Soundex of patient's last name, claim number, social security number, or patient account number
- extensive checking of validity of date of service
- default of dates to date last entered
- enhanced reporting of accepted claims
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E-Z-Lookup - Claim Lookup Software
E-Z-Lookup system allows you to determine which MCO
(managed care organization) is servicing an employer in the
HPP (state funded) system and the employer in the QHP
(self-insured) system. You can determine the employer's
risk (policy) number and where to send FROI (first report of
injury) reports and medical bills. You may also determine
claim status and allowed conditions by claim number or
claimant last name with optional specification of first name
or date of injury for state funded and self-insured claims.
To access this service, software must be installed on your IBM-PC
compatible computer running MS-DOS or Windows-95 with a high
speed modem. This software allows your PC to emulate a terminal
and access North Shore's computer and the data on the 57 MCOs,
the more than 282,000 state-funded employers, the more than 3300
self-insured employers, and the more than 2.9 million active
For this service, there is a set up charge and a monthly fee.
The set up charge is $50.00 and includes installation, a user
manual, and 1 hour of on-site training.
The monthly fee is volume dependent. There is a $5.00 per month
minimum charge. In large volume, employers/MCO data is $0.50 per
lookup. In large volume, claim/employer/MCO data is $1.50 per
lookup. A complete fee schedule is available upon request.
The technical requirements for your PC are:
- a PC running MS-DOS or Windows-95
- a high speed, non plug-and-play modem (at least 14,400 baud) and dial out phone line
- a 3.5" diskette drive (1.4 Mb drive)
- at least 150 kilobytes of spare disk space
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North Shore Billing Services, Inc. is an S-corporation
formed in January of 1993 to electronically process claims
to the Ohio Bureau of Workers' Compensation. During its
first year of operation, North Shore Billing Services
submitted almost 10 million dollars worth of claims. After
almost five years of operations, North Shore Billing
Services has submitted over 1.2 million service items and
over 68 million dollars in claims.
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David A. Falk, President
David Falk has extensive experience in the banking and medical billing
areas having worked for Women's Federal Savings Bank and General
Computer Corporation/Medical Data Systems and successfully run two small
medical billing services, Comprehensive Medical Billing and
Comprehensive Medical Services. Mr. Falk is a 1976 graduate of Xavier
University in Cincinnati; he holds a Bachelor of Arts degree. Mr. Falk
has specific and special knowledge of the operation of the Ohio Bureau
of Workers' Compensation. Through Comprehensive Medical Services, Mr.
Falk provides individualized assistance which complements the electronic
billing services of NSBS, Inc. Mr. Falk may be contacted at (440)
777-0303 or you may send E-mail.
David A. Falk
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Joe H. Gallagher, Director of Operations
Joe H. Gallagher is a medical physicist with special expertise in
computing, image processing, and medical data base design. Dr.
Gallagher holds a Bachelor of Science in Mathematics and Physics from
the University of North Texas and a Doctor of Philosophy in Physics from
the University of Colorado. In addition to post-doctoral fellowships in
Japan and Canada, Dr. Gallagher has been Assistant Profession of
Diagnostic Radiology at the University of Kansas Medical Center, the
Directory of Medical and Research Computing at the Cleveland Clinic
Foundation, and Nuclear Medicine Physicist and Radiation Safety Officer
at Research Medical Center in Kansas City, Missouri. Dr. Gallagher has
worked in medical computer for over 20 years; he is the former Chairman
and Newsletter Editor of the DATATRIEVE/Fourth Generation Language
Special Interest Group of the Digital Equipment Computer Users Society.
He is the author of many refereed papers and technical articles.
Dr. Gallagher may be contacted at (440) 885-9560 or you may send E-mail.
Joe H. Gallagher
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NSBS, Inc. timeshares on a new computer system used by several
corporations. All equipment on the system was acquired since October
1992; significant new hardware was added in January of 1994. The
system consists of the following:
NSBS, Inc. uses KERMIT for data
transfers and VAX-DATATRIEVE for claim processing and report
writing. In addition, NSBS, Inc. either owns or has access
to various IBM-PCs, PC compatibles, and Macintoshes for
- a Digital Equipment Corporation microVAX-3100 model 90 running the VMS operating system
- 80 megabytes of memory
- 3.0 gigabytes of disk
- 6250/1600 bpi magtape
- TSZ07 4mm DAT tape (4 gigabyte capacity)
- a DECserver 700 terminal/modem server
- 4 dialup phone lines with AT&T Paradyne DataPort Modems
- an Exide Electronics POWERWARE uninterruptable power supply
- a selection of DEC and Apple laser printers
- and other servers and communications resources not currently used by NSBS
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