Our Provider Payment solution is an essential component of Rising’s full-service Medical Bill Review program – addressing client operational efficiencies and evolving industry demands:
• Increasing need for end-to-end business process outsourcing – from provider bill audit through provider payment
• Increasing need for electronic connectivity between payers, providers and clearinghouses
• HIPAA’s ongoing electronic requirements
• Push for digital transactions over paper
Saving time and manpower, we make our clients’ lives simpler by assuming the following business processes:
• Verify provider W-9 and FEIN
• Release provider payments via check or electronic funds transfer (EFT)
• Produce related Explanation of Benefits (EOBs) via mail, email, online download or ANSI 835 electronic remittance advice
• Employ fraud prevention techniques such as positive pay protocols
• Supply payers with check images, check information and EOBs
• Field calls from providers and trace payments
• Conduct electronic bank account reconciliations
• Report provider 1099 information to IRS on payer’s behalf
• Submit any necessary state reporting