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
- Offer a Provider Web Portal where providers can securely access payment status information 24/7
- 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