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Web Based Claims submission
By utilizing iHCFA users, are provided an interface to
submit bills and supporting documents directly through
their own billing software or through the use of the
iHCFA bill screen. The system provides for the global
validation of bills according to universally accepted
standards for an Insurance Carrier or Payor, resulting
in the transfer and receipt of a "clean claim" and
supporting documents. Its powerful edits and rules allow
it to screen bills BEFORE submission. Users are notified
immediately of bills which would be rejected as a paper
bill. On-line error correction and re-submission of a
clean and accurate bill avoids many months of payment
delay. The iHCFA.com interface allow the user to track the
status of payments. Automated messages help users manage
their work day more efficiently and effectively.
The use of iHCFA expedites prompt payment of the
"clean claims" and allows Providers greater
knowledge and control of the claim.
Users agree
that the interfaces used in iHCFA are easy to understand
& navigate, requiring minimal self-training investment.
Audiovisual tutorials and on-screen instructions help guide
users with input requirements embedded in iHCFA.
iHCFA allows supporting documents to be transmitted
and displayed. This allows desktop review and coordination
of the progress of the claim. iHCFA automatically tracks
and records all entries, resulting in secure claims
accountability.
Paper
Claim Receipt
iHCFA accepts paper bills and
supporting documents as though they were mailed to an
Insurance Carrier and utilizing secure high speed
scanning technology, and the IBM double-key process,
iHCFA can virtually assure "clean claims" input and
electronic submission to an Insurance Carrier within 48
hours of receipt of a mailed or scanned paper bill and
supporting documents. Providers will receive the
benefits of electronic submissions to iHCFA utilizing a mail
scanning process.
Paper Claim Submission
iHCFA can drop to paper and forward bills and supporting
documents to ANY Carrier which does not accept bills
electronically utilizing a manifest and USPS or UPS
tracking numbers. The iHCFA Claims Detail screen will
record all processes including the input of the tracking
number.
EC-4 NARR
The EC-4NARR is a New York State Workers' Compensation
Board New form for health care providers providing
services to Workers' Compensation injured parties. This
form is a simplified version of the 4 page C-4 and
allows Users to utilize their own office notes.
IHCFA has been certified by the New York Workers'
Compensation Board as an EC-4 NARR XML Submission
Partner. The Company was first company in the
industry that was certified by the New York Workers'
Compensation Board to provide this service. The EC-4NARR
form will only be accepted by the Board through
electronic submission.
C-4 AMR
iHCFA is the only company
certified by the New York Workers' Compensation Board to
submit the Ancillary Medical Report (AMR) electronically
to the Board. This will now allow providers
such as Radiologists, Pathologists, Cardiologists and
other Diagnostic Services to submit the AMR directly to
iHCFA from their existing medical billing systems.
APTP
The Attending Physicians Treatment Plan (APTP) is
for Providers who perform services in New Jersey for
claimants injured in an automobile accident. Utilizing
the APTP on-line allows Providers faster
pre-certification information and feedback on the
approval of their requested treatment plans. Access to
the APTP is FREE and granted to all Providers who submit
bills to iHCFA.
Medical
Billing Software developers
iHCFA works with
medical billing software developers to integrate
directly to iHCFA. iHCFA provides a revenue sharing
model which will offset programming development costs
and create a new profit center.
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