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Provider Benefits of PCH
What PCH can do for you
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PCH a revolutionary web enabled application that can reduce the administrative expenses for Provider and Payers.
PCH can be used without any capital investment, by all types of providers (small to large groups), to submit paper and EDI claims. PCH offers multiple Intake options like DDE (Direct Data Entry), Fax (Secure fax server), Upload Images, in formats like TXT (Print to Image) or PDF/TIF/JPG/JPEG.
PCH also has a proprietary format, which is simple to adopt, to generate required ANSI outputs and a print driver which can transmit the claims to PCH server, directly from the Practice management systems.
Secondary claims, Appeals and Correspondences can be effectively managed with a unique sorting tool that replicates Biller’s desk to a virtual e-Billing Desktop for merging attachments (Timely Filing, Info Letter, Appeals, EOB) to claims.
PCH gateway has connections to over 1600 Payers, for submitting paper claims of Medical, Dental and as well as EDI claims.
PCH creates an image copy of the claim with a tracking number for providers to trace, store and view in a secure storage repository. PCH can also submit the image to the payer’s imaging system if required.
Providers can check instant Eligibility and Claim status using PCH gateway.
PCH has a comprehensive reporting system for providers to view Paper and EDI claims status submitted for all payers in a single view.
Electronic submission of your Paper claims
Enhance your Revenue Cycle (Decrease in A/R days) and revenues by improving turnaround time of payment and significantly reducing operating expenses
Instant Benefit checking helps collection of Co-Pay and Deductibles upfront
Comprehensive claims processing management - Primary, Secondary, Appeals and Correspondence for all Providers to All Payers in a single portal
PCH applies Payer and Industry specific validations to create ‘clean claim’ to reduce duplicates and re-submissions. Validation rejects, are posted for an on-line correction to significantly reduce iterative claims payment cycle
Reduction in Manual or Phone Verification Process - Flexibility to check Eligibility & Benefits and Claim Status by multiple intake options – DDE / Proprietary format / Batch mode
Reduction in administrative expenses – Less phone and labor expenses on follow up as complete claim life cycle status responses are posted online
Ease of Use portal- Simple menu navigation and quick links to view dashboards
No startup cost or capital investment
Online Chat support and Help menu’s for quick trouble shooting / problem resolution responses
Simple setup-Easy to use-Multiple profile
Click and Connect at www.hovs-pch.com
Select new user registration and complete simple registration process
Login using the received user name and password received through registered email.
Model 1 – Web Integration
Single Sign on for existing provider accounts setup in payer web portal
Chose your module for PCH – Customization of rules & process flow can be done
Model 2 – Provider adoption using outreach model www.hovs-pch.com
Provider should get registered in PCH portal to start using the applications.
Rule validations and Rejection management
Ability to fix rejections by providers online - Industry and Payer specific rule validation performed
Claims failing repeatedly will be notified by the pattern analysis engine for provider education
Reduction in duplicate claims and re-submissions
Reduction in Claim Denials, as upfront edit scrubbing leads to clean claims
Reduction in cost – Administrative, Stationery, Postage, Printing and follow up
Improved A/ R days, less rework on rejected claims
Web-based Tracking of all paper claims
Tracking number for each and every transaction from submission to Payer acknowledgement
Claim Submission, Eligibility and Claim Status all in single portal view – Life of the front office and billing clerk made easier
e-Presentment of ANSI 271 and 276 in a stratified report coupled with business rules for outcome management improves the decision making and analysis of accounts automated
Customized report available on demand
Ready to take advantage of PCH solutions from HOV Services?
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PCH-SourceHOV representative is available to help.
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