PCH has a web based portal through which claims can be uploaded to the portal as
an image or faxed to an exclusive secure fax number provided by PCH. Your claims
will be sent electronically to the payer directly by PCH. CMS 1500 or UB 04 claims
can be also be directly updated into PCH portal by Direct Data Entry method. All
your claims that are send to PCH can be tracked on a dashboard within 24 hour
You should be able to see the claims
within 24 hours time. Please visit the portal for the receipt time and available
time in the portal based on the time slot defined.
Yes, there is a one time registration
process. You can also reach our Customer Service Department for registration.
Electronic Data Interchange (EDI) is
the computer-to-computer exchange of business documents between companies, using
a public standard format. Rather than preparing paper and sending it through the
mail, or using other communications methods such as telex or facsimile, EDI users
exchange business data directly between their respective computer systems In addition
to the digital transmission of a claim, a HIPAA compliant 837 transaction can be
generated and the PCH will deliver the claim to the payer. The most tangible benefit
of EDI is that it saves money for the provider and the payer. In fact, there are
no paper forms, no envelopes and no stamps. PCH provides a seamless upload from
your Practice Management Software to outgoing claim forms. We minimize or eliminate
the need to re-key or type claim forms.
The PCH portal has detailed instructions
on how to use PCH systems.
No, you can pick and choose which payers
you want to send to PCH although we can be a single portal for all payers for claim
submission to improve efficiency.
Yes, you are not contractually committed
to use PCH and you can leave at any point and there is no fee to discontinue.
There are no other extra charges other
than those charges published on the pricing sub-tab found under the Pricing tab.
We typically can have you submitting
claims in two business days so long as there are no issues with your claim file.
Using a secure login and transmission this single portal also addresses all media
submissions including paper (via fax), image upload, DDE and an upload of an 837
from your PMS/HIS system. Pre-submission adjudication is provided; all claims are
filtered for payer and your practice edits which minimizes rejected claims. You
will ultimately increase cash flow and reduce your accounts receivable through the
use of the various features and functions of the PCH including Analytics.
If you already have a computer with simple internet access, you are ready to start.
Absolutely and you can be up and running
in a couple of business days from when we receive your executed contract.
Our solution would clearly match your
requirements. You could fax or load image of your claim. We will then complete the
processing and send it to the payer electronically and report back to you. You still
receive the benefits of the Analytics and Dashboard for tracking and analysis.
You could fax or load image of your
claim. We will then complete the processing and send it to the payer electronically
and report back to you.
Most claim formats are supported through
PCH. Most practice management systems generate EDI formats or simple print image
files which can be transmitted to PCH. PCH translates your claim file into the formats
required by the insurance payers, including the HIPAA 837 Health Care Claims transaction
format. If your system has limited electronic claim capability, but it can print
claims to a printer, then there is a good chance that you can generate a file that
contains your printed claims. After receiving the print image file, PCH will translate
the data into a format that the payers understand.
If the payer name on the claim is not
listed on the PCH Payer List, then the claim will automatically be printed and mailed.