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Security Administration System
HC MedNet's Security Administration System allows each
organization to specifically define their team’s access
to the HC MedNet system. To accomplish this, you designate
a Domain Administrator for your organization. The Domain Administrator
is then able to do the following:
- Grant your team members access to the system
- Customize what each staff member is able to do within the
- Reset passwords
- Prohibit staff members’ access to the system
With the HIPAA regulations for Privacy and Security, HC MedNet
is committed to your compliance with these regulations when
using our system.
HC MedNet's Eligibility Inquiry Service affords you access
to patient benefit information from over 90 payers. We offer several
different methods for making these inquiries:
Direct Data Entry (DDE) Single Entry: Enter
patient information directly on-line via our website and get
an immediate response from the payer for that inquiry.
DDE Batch Entry: Enter several eligibility
requests in rapid succession in a single batch interactively
on our website. Then submit the entire batch of inquiries all
at once. Responses for all inquiries will be available on the
website in a few seconds.
Reduced-Data Batch Upload: Generate a report
of tomorrow’s scheduled patients along with their data
of birth, subscriber ID, and insurance company name. Then upload
that report to HC MedNet’s website. Our system
will then automatically generate eligibility inquiries for each
patient on that report and display benefit information on the
site in a matter of seconds.
Full-Data Batch Upload: If your practice management
system is capable of producing an X12 270 transaction or HC
MedNet’s flat-file version of the 270, you can submit
that transaction to our Web site for immediate processing by
Claims Processing - Print File Capture, HIPAA 837, Proprietary
Claims Processing Batch Submission - HC MedNet's flagship
product - allows providers to integrate any current practice management
system with HC MedNet's electronic claim filing process.
With this easy-to-use system, there's no need to re-type information
as the system accepts data from existing practice management systems
in NSF, Print File Capture, ANSI X12 837 (HIPAA), or other data
Another great feature is that the system allows multiple file
submissions instead of submitting each claim separately. To use
the system, simply log in to the HC MedNet member site,
locate the batch file on your system (or type the filename), and
click Submit. That's all there is to it! HC MedNet does
An alert notifies the HC MedNet system that a batch has
been submitted. Your batch files are then converted to an acceptable
electronic payer format and submitted to the PPO and/or individual
payers. Furthermore, with direct batch submission, the average
claims processing cost is significantly less than traditional
or paper claims processing, or competitive offerings!
Claims Processing - Direct Data Entry
The HC MedNet service for DDE claims processing provides
everything you need to enter and submit a claim via our private,
secure website. This easy-to-use feature addresses a primary need
for a practice management system. All you need is Internet access
and a Web browser to enter all of the necessary information directly
into our system.
When your claims are entered, they are electronically delivered
to the appropriate payers. In the process, they are checked for
any errors, such as a discharge date that precedes the admission
date or a diagnosis code that does not suit the case. Such errors
prompt an immediate return for adjustment, saving weeks or months
of delays. Most rejected claims are returned the same day that
they are submitted!
Claims filed through HC MedNet are normally received
and paid within days. Additionally, once a patient's initial information
has been entered, it is always there. No re-entry of background
information is needed.
Claim Response System
Most clearinghouses and claim processors merely pass the payer's
acceptance/rejection report back in a text format, leaving you
to search the claim for acceptance or rejection information. With
HC MedNet, our impressive Claims Response System "reads"
the payer responses for you and stores the acceptance/rejection
information with each individual claim.
In addition, all responses are presented in one easy-to-read standard
format directly on our secure site. Consequently our customers
are not burdened with the time-consuming task of pouring over
reams of various text-based reports formatted differently from
Electronic Remittance Download
HC MedNet can arrange to retrieve Electronic Remittance
files from payers and make these files available to you in our
File Download area. With this Electronic Remittance file and with
the appropriate module in your practice management system, you
can automatically create payment and adjustment records in your
Receivables system from the data in this file. There are several
benefits to this service:
CPT-4 / ICD-9 Code Maintenance
- With the appropriate module in your practice management system,
you no longer have to manually key in these payment and adjustment
entries. It can all be done automatically.
- No fighting with telecommunications equipment, modems, file
transfer protocols, etc. Simply download the Electronic Remittance
file from our Web site.
- Files are available to be downloaded for 30 days. You may
download these files at any time during this 30-day period,
as often as you wish.
- HC MedNet retains a log of every time a user within
your organization downloads a file from the File Download area,
auditing this function for your control.
HC MedNet continues to develop innovative ways to supply
simpler provider solutions that are fast, affordable and secure.
This includes HC MedNet's time saving CPT-4 and ICD-9 Search
Service. By using this easy to use product, you eliminate thumbing
through the book or looking for the CD to cross match valid codes.
With our CPT-4 and ICD-9 Search you can now search by code or by
description. The system even offers the ability to flag frequently
used codes for quick retrieval.