

HIPAY
PAYMENT POSTING WITH INTELLIGENCE
VIEW DAILY PAYMENTS FROM INSURANCE ERA, EOB, PATIENT PAYMENTS AND MORE
HIPAAS IS MANAGING REMITTANCE POSTING FOR THE LARGEST MANAGED CARE ORGANIZATION WITH
12M+ MEMBERS
HIPAAS ADVANTAGE
CONSOLIDATE ALL YOUR SPREADSHEETS INTO ONE AUTOMATED PAYMENT DASHBOARD SYSTEM.
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Increase average % of claims paid after 1st submission.
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Increase average % of current claims (0-60 Days)
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Reduce denial rate.
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Improve net revenue to the practice.
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Higher percentage of clean claims.
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Reduced outstanding accounts receivables.
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Faster claims payment.
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Less lost claims.
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Rules driven setup
PAYMENT ACCURACY AND TIMELINESS
CLAIMS SUBMISSION
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Integrate to EHR/Practice Management Software and submit via 837 I, P, D EDI
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Convert claims data to EDI
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Validate and correct the claims before submission
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Smart Claims creation and corrections, save time on data entry and corrections
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Manual corrections of claims data
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Data entry screens for CMS 1500s and UB-04s
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Submit claims electronically via direct data entry (DDE) screens.
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Queue Line item denials and resubmit
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Create work queues for line items splits, code changes, payment data changes.
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Match bank payments
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Create Patient responsibility bills and accept online payments.
MANUAL EOB PAYMENT POSTING
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Get Payment information from scanned images of Explanation of Benefit (EOB) documents
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Post each line item to the respective patient accounts.
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Resolve missing EOB, adjustments, write-offs, and balance transfers.
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OCR Reading
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Data Entry screen
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AI driven rules to match Claims
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Resolve missing EOB, adjustments, write-offs, and balance transfers.
POSTING PATIENT RESPONSIBILITY PAYMENT
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POS cash collections, checks, and credit cards (patient portals).
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Post from collection Agencies
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Resolve any credit balances
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Write-offs and adjustments
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Integrate to Payment Gateway to collect patient portion.
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Integration to generate notification and reports to send to collection agencies
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Write-offs and adjustments rules
Resolve Work Queues
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Report and reroute denied claims
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Rework and re-submission to payers in a timely manner.
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Check the secondary payer information
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Transferring the balance to the patient account
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Routing the denied claims to appropriate work queues.
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Making adjustments/ write-offs as per defined policies
ELECTRONIC REMITTANCE ADVISORY (ERA) POSTING
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Reconcile Claims Payments, 835 ERA and Treasury files.
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Manual corrections
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Create missing ERA entries and bank entries
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Al Driven EFT. ERA and Claims Invoice Match.
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Reconciliation to claims data.
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Queue Line item denials and resubmit
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Create work queues for line items splits, code changes, payment data changes.
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Match bank payments
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Create Patient responsibility bills and accept online payments.
DENIAL POSTING & RESEARCH
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Research Clearinghouse rejections, Payer rejections
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Research denial reasons
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Review Eligibility
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Review Prior Authorization
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View Financial agreements and demographics
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Research denial reason codes
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Extra front-end screening for eligibility denials
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Research Policy and coverage changes
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Fee schedule updates
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Report and reroute denied claims
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Rework and re-submission to payers in a timely manner.
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Check the secondary payer information
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Transferring the balance to the patient account
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Routing the denied claims to appropriate work queues.
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Making adjustments/ write-offs as per defined policies
TRACKING AND RESUBMISSION
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Check the latest status of claims
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Realtime Claims status check
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Track claims to payment
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Daily and on demand reports for claims status
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Secondary Insurance submission
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Resubmission for errors
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Real time A/R view

GET STARTED
Invest your time where it's needed. Set it up once and auto-scale
HIPAAS supports AWS Cloud, Azure or GCP or On-Prem for Enterprise customers.
