 Our
Services
HC MedNet’s healthcare technology capabilities form
the building blocks to construct the future of your organization.
We have created key technology and service offerings pivotal to
the challenges of today’s healthcare industry.
Core Service Offerings
Provider Internet Solutions
Claims Application Software &
Services
Consulting & Decision Support
Services
HC MedNet has more than 15 years experience in providing
full service solutions and is committed to helping our clients successfully
accomplish their goals by providing extensive experience in healthcare
information technology. We value our partnerships and strive to
provide products and services that enhance our clients' healthcare
delivery capabilities. We service our clients with the utmost in
professionalism, efficiency and cost-effectiveness.
Provider Internet Solutions
Providers may send claims, eligibility inquiries, statements, collection
letters and more to HC MedNet securely over the Internet.
With direct links to PPOs and Payers, we expedite the claims submission
and correction process. In addition, access to the system through
a web browser is available from any location or division of your
organization at any time.
The HC MedNet Advantage provides:
- Security Administration System
- Eligibility Inquiry
- Claims Processing - Print File Capture, HIPAA 837, Proprietary
Formats
- Claims Processing - Direct Data Entry
- Claim Response System
- Electronic Remittance Download
- CPT-4 / ICD-9 Code Maintenance
- Print and Mail Services
Claims Application Software and Services
HC
MedNet provides IT solutions and services that enable providers,
PPOs and payers to improve their bottom line. Our software and service
offerings automate business processes, streamline operations and improve
workflow. Our suite of applications for claims payment administration
includes:
- Connects Providers, PPOs and Payers via the Internet
- Customizes claims adjudication processes
- Provides a full range of information reporting
By obtaining claims directly from providers via our Provider Internet,
HC MedNet closes the loop between the Provider, the PPO/Repricer
and the Payer. Each party has immediate secure access to claims status
information from the central library of claims transactions.
ComCare is HC MedNet’s HIPAA-compliant healthcare claims
administration software that has been utilized by PPOs and TPAs since
1985. This software provides proven functionality for administration
of:
- Security
- Member Enrollment
- Health Claims Adjudication
- Payments Processing
- Client Billing
- Adjuster Productivity Management
- Member Activity History
- Specific and Aggregate Reporting.
ComCare is your answer to affording a HIPAA compliant, cost-effective,
user-friendly system, without bearing the risk of high-cost leasing
arrangements!
Consulting
HC MedNet combines business services to create a comprehensive
solution for your organization. We offer customized solutions to meet
our clients’ needs, including:
- Business and Technology Consulting
- Systems Integration
- Systems Migration
- HIPAA EDI Consulting
Decision Support
Your clinical, administrative and financial data becomes the basis
of our
gaining a complete picture of your healthcare business. We focus
on
identifying areas of improvement that produce the optimum return
on
investment in terms of cost reduction and quality improvement. Our
services
include:
- Identifying Clinical and Financial Risk
- Evaluating Clinical and Practice Patterns
- Analyzing Medical Expense
- Streamlining Administrative Processes
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