Healthcare Paper Claims to EDI Conversion Services  
 
Healthcare Paper Claims to EDI Conversion Services
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Healthcare Paper Claims to EDI Conversion Services
MedValue Services

MedValue Paper Claims-to-EDI Conversion Services™

Healthcare Paper Claims to EDI Conversion Services MedValue is the leading provider of Paper Claims to EDI Conversion services to Health Plans, TPAs, MSOs, Medicaid MCOs, Repricing Companies, IPAs and other Managed Care companies throughout United States.

We convert tens of thousands of CMS-1500, HCFA-1500, UB-04, UB-92 and a variety of Dental paper claims to HIPAA compliant ANSI 837-4010 EDI formats for our customers every day. Our customers enjoy the consistency and reliability that accrues to them by working with MedValue.

Simple and affordable, our service automates your front-end claims processing, cuts costs, eliminates the manual data entry and OCR verification, and improves accuracy of paper claims adjudication while at the same time improving turnaround time.  It additionally enhances productivity of your claims examiners by improving your Auto Adjudication rates, Reduced Pend Rates, and archiving paper claims and attachments images to our web-based Document Management System, for easy Search and Retrieval of claims and convenient access 24x7 from any computer.

Call us today at 1-877-528-1683 to see how TPAs, Health Plans, MSOs and Managed Care Entities have benefited by partnering with MedValue for solving some of the challenges as listed below:

Are you facing any of these challenges?

MedValue Healthcare Services  Shortage of motivated and reliable claims data entry staff

MedValue Healthcare Services  Rising employee wages and benefit costs

MedValue Healthcare Services  High volume of paper claims backlogs

MedValue Healthcare Services  High cost and low reliability  from your existing Paper claims vendor

MedValue Healthcare Services
 Overburdened by paper claims because of increase of volume from Providers

MedValue Healthcare Services  Antiquated or inadequate technology platforms

You can derive these benefits by working with MedValue

MedValue Healthcare Services  Eliminate handling of Paper Claims

MedValue Healthcare Services  Cut Paper Claims Processing Costs by 40-60%, as well as convert fixed costs to variable costs

MedValue Healthcare Services  Archive, Search, and easily Retrieve all Paper Claims & Attachments through our web based Document Management System

MedValue Healthcare Services  Improve Auto Adjudication and Reduce Pend Rates

MedValue Healthcare Services  Improve HIPAA & CMS compliance for audit trails and paper claims tracking

MedValue Healthcare Services  Improve turnaround times, eliminate backlog and easily manage high volume peaks and fluctuations.

You can count on us for consistency & reliability. MedValue’s Paper Claims-to-EDI Conversion Services have been designed to specifically address these challenges described above. The custom solutions enable Claims Departments to eliminate paper and populate their Claims System with claims data without requiring any manual data entry.  MedValue’s Paper Claims-to-EDI Conversion Services provide our clients’ two key capabilities reliably and consistently on a daily basis:

1.Converts your paper CMS-1500, HCFA-1500, UB-04, UB-92 and Dental claims and stores them electronically in our web-based Document Management System™ (DMS™) for easy Search and Retrieval at any time from any PC connected to the Internet.

2. Converts your paper claims into a standard EDI stream (ANSI 837-4010), similar to the ones received by your claims department for electronic claims.

Our People & Processes are our Differentiation
Our process is easy to implement. On a daily basis, your staff scans the paper claims along with attachments to our Secure FTP Servers. Within 1-2 days, we process and provide you with the EDI 837-4010 output for your staff to load into your Claims Adjudication System such as FACETS, IDX, EZ-CAP, DIAMOND, etc. We then store indexed images of your paper claims and attachments on-line on our web based DMS, and upload the archived data to Secure FTP. We also provide you a Management Information Summary on our web based Workflow Management System™ (WMS™), and via daily email status reports so that every claim sent to us and processed by us is accounted for.

Low Cost & High Value
Our services are very affordable and are a variable cost to you. You do not need any upfront expenses on Hardware, Software or IT staff at your end.

MedValue clients are saving between 40%-60% off their fully loaded paper claims processing cost and enjoying over 99.5% accuracy by using MedValue’s Paper Claims-to-EDI Conversion Services.

MedValue Healthcare Services

 

Highlights
MedValue Healthcare Services

MedValue Healthcare Services  Savings of over 40% compared to your existing front end claim processing costs

MedValue Healthcare Services  Improved Auto Adjudication and Reduced Pend Rates by verification of data against your Provider and Member Databases

MedValue Healthcare Services  Enhanced accuracy by validations with AMA® CPT/ICD Code databases,  Common Industry Business Rules, and your custom business rules, business practices and policies.

MedValue Healthcare Services  Complete Mailroom support Includes pickup of paper claims from P.O. Boxes and scanning services nationwide.

MedValue Healthcare Services  Simple Variable Cost model - No upfront hardware or software capital investments required

MedValue Healthcare Services  1-2 day EDI turnaround for all types of Paper claims

MedValue Healthcare Services  Leverages MedValue Claim Repair Technology to provide far superior accuracy levels than other vendors.

MedValue Healthcare Services  Easy Search and Retrieval of all claims and attachments using our web-based DMS.

MedValue Healthcare Services  Full support of NPI as well as latest CMS-1500, UB-04 and all Dental forms.

MedValue Healthcare Services  Repricing Data Capture from Repricing sheets attached to the claim.

MedValue Healthcare Services  Experience with most Claims Adjudication Systems and their Interfaces such as Facets, IDX, Diamond, EZ-CAP, In-house and more.  

MedValue Healthcare Services  Rapid Implementation timelines - Most implementations and transitions completed within 30 days.

MedValue Healthcare Services
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Additional Services for Health Plans, TPAs, Medicaid MCOs, and MSOs

MedValue Healthcare Services  MedValue Claims Adjudication Services

MedValue Healthcare Services 
MedValue Provider Database Maintenance Service

MedValue Healthcare Services 
MedValue Member Enrollment Services

MedValue Healthcare Services  MedValue Document Management Services

MedValue Healthcare Services  MedValue Authorizations Support Services