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.

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.

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.

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.