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Hi;
My name is Bill Hagan and I am
looking for some advice on a decision we are evaluating.
Today we are a company that processes
5 million claims with only about 10% electronic.
Obviously we want to move to
electronic submissions and in fact not only submissions
but document exchange such as
rosters, panels, remits, etc.
Currently we are working with WebMD
and other clearinghouses to capture the claims.
However it is expensive somewhere
from .29-.35 cents a transaction. So I am looking for
realistic and cheaper alternatives.
In addition, since WebMD performs editing we
have no visibility to "dropped"
transaction and this is an irritant to our providers.
Ideally we would like to go direct
and implement out own transaction engine or something
similar. I have been told that
providers only like to have one connection (that being a clearinghouse)
and that they will not
switch.
So my question is --- IS that TRUE in
your estimation. If so, what incentives have you seen used to
go direct. And finally, what tools
would you recommend. We are looking at bTrade, Cyclone Commerce
and IP-Net. Because of the logging,
mailboxing and non-repudiation, these seem to be a good
fit with HIPPA but they too are very
expensive and we would like to know if there are other
alternatives.
You can give me a call if you like at
602-757-8466 and I have provided my company
e-mail address if you would like to
contact me that way.
I appreciate any advice or counsel
you can give.
Thank you
Bill
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BEGIN:VCARD VERSION:2.1 N:Hagan;Bill FN:Bill Hagan NICKNAME:Nickname53659 ORG:eFusion Solutions TEL;WORK;VOICE:(703) 969-1977 TEL;WORK;FAX:(413) 604-8720 EMAIL;PREF;INTERNET:[EMAIL PROTECTED] REV:20020110T104448Z END:VCARD
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