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.

Provider Payments that Facilitate:

  • The increasing need for end-to-end business process outsourcing – from provider bill audit through provider payment
  • The increasing need for electronic connectivity between payers, providers and clearinghouses
  • HIPAA’s ongoing electronic requirements
  • The 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

Provider Payment Services: