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Overview:


Provider electronic interaction health plans, hospitals, PBM’s, and clearinghouse switches allow them to maximize time with the patient as opposed to the administrative needs of servicing the patient.

Using the solutions developed by IGI, providers can enter and submit the claims on-line. This easy-to-use claim submissions form is an exact replica of the industry standard HCFA 1500 form. Once the data for a patient is entered, it is stored in database for processing by the payer. After a HCFA 1500 is filled and submitted for a patient for the first time, the patient’s data is stored in the database.

When a new claim form needs to be submitted for the same (existing) patient, the patient lookup features saves time by allowing the provider’s office to search for the patient by first name, last name and bringing up the patient demographic data from the database. The provider office has option to make any changes to the data if applicable.

These innovative uses of technology become possible due to our close working relationship with  the provider community

 
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IGI was selected to develop a customized portal solution for a company that provides provider-based e-commerce solutions throughout the United States,
Critical to their vision was IGI implementing direct connectivity to payers, clearinghouses, and merchant services vendors.  Addition features included:

  • Claim Submission and Reports
  • Claims Submission
  • HCFA 1500 Web Forms, with Specialty, Secondary and NPI
  • UB 92/UB 04 with NPI for InPat, OutPat, LTC, and AMC
  • Batch and Claim Submission (HCFA/UB) in proprietary, NSF & 837
  • Reporting Module
  • Payer Specific Reports and Bulletins
  • 835 converted to user friendly ERA Reports
  • Claim Status and Inquiry
  • Member Eligibility & Benefits
  • Financial Payment processing
  • Back Office Implementation Service
  • Provider direct connectivity to payers, clearinghouses and merchant services vendors
  • Provide on-demand mapping services for all Batch claim customers
 
 
 
     
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