FEATURE STORY of the information stored in the payor’s systems and can easily reconcile every discrepancy requiring attention based on government requirements and the organization’s business rules. Put another way, although there might only be 100 transactions on a given day’s 834 file, those 100 transactions must be compared against the millions of records already in the preenrollment and membership systems. No payor can handle that comparison manually. Automated controls can assist with every step of the eligibility and enrollment process, including: • Ensuring 834 enrollment files arrive on time • Discovering and eliminating duplicates before they are A More Secure Way to store files 500+ medical billing offi ces nationwide use eBridge’s HIPAA-compliant, secure cloud-based document management system to streamline operations, save money, and reclaim space. t Provider scanning and retrieval t Eff ortless work queue management t Quick and easy batch scanning t Compliant audit trails to track user access t Full-text keyword searches for ultra-fast retrieval Call 813-387-3870 today for a demo. Because your business is about more than just paper. THE JOURNAL OF THE HEALTHCARE BILLING AND MANAGEMENT ASSOCIATION 15 entered into membership files • Automatically alerting customer service to send a welcome packet • Tracking invoice payment to continue membership and alerting collections for delinquent payments • Triggering wellness program contacts • Ensuring life changes are made correctly (e.g., a new baby is added to the account but also entered into the membership system) • Alerting marketing regarding which members should be notified of a change in their plan or premium rates prior to re-enrollment • Helping quickly identify the root cause of, and prevent, frequently occurring problems Millions of “free agent” members are up for renewal this year, and many payors are discovering shortcomings in their processes as unsatisfied members sign on with another payor. Best practices, however, will prepare the most astute insurance companies to effectively manage this churn by creating a stable process to handle the volume and quality of incoming and ongoing member relationships. Because payors must communicate with and market to millions of new healthcare consumers under the ACA, the importance of the enrollment and eligibility processes can determine their www.eBridge.com 813-387-3870 LHaywood@eBridge.com Visit us at booth #310
Billing_MarApr15
To see the actual publication please follow the link above