E*HealthLine’s Payer Solution is a proven provider of claims, payments and fraud and abuse management, that increase efficiencies through intelligent transaction services. E*HealthLine helps healthcare payers streamline processes and reduce administrative costs, while lowering the overall cost of healthcare.
The use of E*HeathLine’s innovative reporting, analytics and payment tools enable the monitoring of revenue cycles at all times, and assist the client in qualifying for government stimulus funding. E*HealthLine’s suite of applications allows physicians to spend extended and vital time with patients, by offering electronic solutions that eliminate manual processes and paperwork.
Claims Submission E*HealthLine® provides a single source for submitting primary or secondary claims, electronically or on paper. The company offers comprehensive institutional claims processing and enhanced claim edits.
Electronic Primary and Secondary Claims All electronic transactions are conducted in real-time, enabling the ability to immediately correct and resubmit claims data with the click of a mouse. In addition, every claim is scrubbed and processed. E*HealthLine’s Web-based and interactive platform enables its community of users to benefit from a full cycle of connectivity.
Intelligent. Connected. Simplified.
E*HealthLine is a leading provider of Intelligent Revenue Cycle Solutions and advanced technology, facilitating the required process for hospitals and health systems to maximize revenue and profitability.
E*HealthLine’s end-to-end solutions and innovative technology, enables direct connects to all-payer networks of commercial and government health plans nationwide. The company provides comprehensive eligibility and benefits verification, as well as submission for remittance and payments of medical claims. The direct connections provides a broad array of transactions, real-time response, extended content and advanced editing solutions, designed to increase payments and enhance overall profitability. The company also provides a full range of integrated solutions, including online patient billing and payments, cashiering and lockbox services.
The process of receiving and posting both electronic and paper payments from insurers electronically, enable practices to realize significant time and cost savings.
E*HealthLine’s® Electronic Remittance Advice (ERA), automates the process of receiving and posting payments from participating insurance companies.
ERA Claims Processing Benefits:
E*HealthLine ExpressBill Services Provides clear and concise patient statements that leverage existing financial data to create an effective patient infrastructure.
Patient Online Payment Management E*HealthLine's self-service patient applications, provides comprehensive and secure online billing and payment management.
Patient Connect An innovative suite of print and eCommerce solutions that facilitate provider-patient communications
Collection Letters The system generates and delivers collection letters for pre-collect and final notice letters, all customized to meet with each specific need.
Denial Management Overview
The timely collection of accounts receivable revenue is critical to a practice’s financial health. Effective denial management is critical. The majority of denials can be effectively prevented and/or the revenue recovered by categorizes and tracking vital claims data.
Efficient printing of appeal letters provide pre-populated claim data prepared for disbursement to the payer. E*HealthLine’s appeal letters range from generic reconsideration to specific categorical documents.
The addition of an automated appeal letter featuring the ERA Filing Cabinet, accelerates the movement of manual claims processing and compliments the existing E*HealthLine diagnostic tools, creating efficient receivables management..
• Identify claims and create appeal letters utilizing an imbedded appeal process. • Facilitation of timely and efficient pre-populated appeal letters. • Ability to customize the appeal letters utilizing editable fields.
Interactive Care Management Solutions
E*HealthLine’s Interactive Care Management Services leverages the company’s existing electronic connections to provide clinicians with c
are intervention strategies. The company’s industry-leading electronic healthcare information network, distributes healthcare communications to millions of patients both domestically and internationally.