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y
utilizing iHCFA.com
Users are provided an interface to submit
medical bills directly through the Web. The
system provides for the global validation of
bills according to universally accepted
standards and can be customized to the
requirements of a Payor, resulting in the
transfer and receipt of a “clean claim”. Its
powerful edits and rules allow it to screen
bills BEFORE submission allowing the User to
immediately identify a bill which would be
rejected as a paper bill, correct it and
avoid many months of delay. Interfaces allow
the User to track the status of payments and
automated ticklers help Users manage their
work day more efficiently and effectively.
The use of iHCFA.com
reduces the costs of cumbersome manual
claims input and expedites prompt payment of
the clean claims.
Users agree that the interfaces used in
iHCFA.com
are easy to understand & navigate requiring
minimal self-training investment. Adding a
Claim is as simple as logging on, filling in
a few required fields to check for
duplicates and following the on-screen
instructions while adding the specific input
requirements already imbedded in the
HCFA-1500 claims form. Submit the bill
complete and transmit any required
supporting documentation.
iHCFA.com
scanning capabilities allows any document to
be transmitted as easily as an e-mail,
allowing desktop review and coordination of
the progress of the claim.
iHCFA.com
automatically tracks and records all
entries, resulting in secure claims
accountability. |
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he
New York State Workers Compensation Board
requires the submission of a copy of the C-4
to the Board by Providers to maintain the
records of a claimant.
"Attending Doctor's Report and
Carrier/Employer billing form" provides
information about claimant identification,
injury history, diagnosis, treatment,
disability, causal relation of accident to
disability, and degree of impairment. The
form includes procedures performed and
billing charges. The form is to be filed by
the doctor within two days of initial
treatment, with additional reports during
continued treatment, including a final
report.
http://www.wcb.state.ny.us/content/main/Forms.jsp
This process which normally involves copying
bills, medical reports and progress notes or
utilizing multi-copy forms is cumbersome and
inefficient. iHCFA.com
will give Users the ability to fill out
their C-4 online for the Workers
Compensation Carriers serviced by
iHCFA.com
and electronically submit the form. After
validation and acceptance the C-4 data will
be transmitted to the Carrier for payment
and the C-4 form will be transmitted to the
NY Workers Compensation Board in an
xml format approved by the Board.
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tilizing
secure high speed scanning technology, a
team of over 600 employees and the IBM
double-key process,
iHCFA.com
can virtually guarantee “clean claims” input
and submission to the Carrier within 48
hours of receipt of the paper bill. Paper
bill can be mailed or batched for Carriers
supported by iHCFA.com
and scanning and manual input will occur.
This service is available to high volume
producers, Insurer’s and billing companies
for a fee. For more information, please use
the Inquiry Form and a representative will
contact you to discuss your specific needs.
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HCFA
has been pre-funding “clean bills” for
Providers through an exclusive relationsship
with MedicaFund, LLC a Medical Claims
Financing Company which commenced operations
in 2000.
The company maintains an exclusive financing
arrangement with its Users enabling its User
to improve their cash flows through the
collateralization of their medical services.
MedicaFund requires its User to submit their
bills directly to iHCFA.com
so that the bill can be processed through
the proprietary edits in
iHCFA.com.
This system collateralizes each bill
following standard guidelines and the
Company requires that all bills be tracked
by MedicaFund’s until the User has been paid
by te Payor or the amount advanced has been
paid back.
Upon the User submitting a claim that meets
pre-determined parameters, the User is
advanced funded based upon a contractual fee
schedule. Each advance funded claim is
uploaded into the MedicaFund system to allow
for the continued maintenance of a detailed
file, by account, of all claims which
represents MedicaFund’s collateral.
The ability to advance fund its User is the
result of technology that utilizes a unique
system of controls that monitor the funding,
payments and reconciliations. The entire
process is electronic, and it can be
completely audited at the least level of
detail. MedicaFund has not experienced any
losses from funding its User's largely as a
result of this technology and the
arrangements of its User with their
insurance Carriers.
TPA’s, PPO’s and Insurance Companies can
utilize iHCFA.com
and MedicaFund for their powerful upfront
edits and their ability to pre-fund or pay a
Provider in 72 hours or less from submission
of the “clean bill” which would contain all
required information necessary for the
company to write a check. For more
information please go to www.medicafund.com
or call 973-451-8231.
Funding source can be supplied by
MedicaFund,
LLC.
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