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Offers Simple Solutions to Complex Business Electronic Connectivity Challenges |
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Electronic Healthcare Network Accreditation Commission Full Accreditation:
For Meeting Quality Performance Criteria for Quality Performance in Five Areas
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Privacy and confidentiality |
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Technical performance |
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Business practices |
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Resources |
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High Performance Standards for Standard Claims Processing and Status Reporting: |
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Routinely answer 98 percent of all customer service calls in person with 92 percent instant resolution |
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HIPAA compliant solutions |
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Using GeniusDoc, Gateway EDI’s Electronic Transactions Acquisition Services Provide an Array of Tools that Allow You to: |
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Easily submit all of your transactions to one source |
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Submit transactions twenty-four hours a day, seven days a week |
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Receive confirmation of receipt of each file transferred |
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Receive remittance notification from health care plans on a regular basis |
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Advantages of Gateway EDI |
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Submit to Over 3,000 Payers Across the Country |
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Quick Turn Around Process |
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Rewards its providers for “good behavior” with the “99 Percent Club” |
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Voluntary membership to those who submit claims in a Gateway EDI specific format and timeframe. Any Gateway EDI provider that: |
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Files claims in less than 15 days from the service date |
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Produces more than 200 claims per month |
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Maintains an overall claim acceptance rate of 99 percent |
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If a member meets these standards, Gateway EDI commits to file their claims in as little as two days. |
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This translates into: |
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Quicker resolution of rejected claims |
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Enhanced cash flow |
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Revenue from otherwise lost claims |
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Eliminating resubmission costs |
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Decreased accounts receivable by at least 5 days |
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Few claims clearinghouses today are willing to commit to or succeed in this quick turn-around process |
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Reduces Overall Error Rate |
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Gateway EDI customers have lowered their average overall error rate to only 7 percent! |
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Secondary Claim Processing |
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Gateway EDI is the industry’s ONLY all-electronic solution for secondary claim processing |
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How it works: |
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Gateway EDI electronically reads the primary claim payment to evaluate existing patient coverage |
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If a supplemental policy exists, but there has been no action taken, Gateway EDI will |
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Manage that claim by switching the flag in the file to reflect filing of that claim |
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Send the modified 835 to the provider |
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File a clean supplemental claim along with appropriate documentation |
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Process the secondary both electronically and via paper |
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Work with a variety of commercial insurers, Medicare, and Medicaid |
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Helps providers recoup ignored & lost claims |