provider e services brochure2 - First Health

1 provider e-ServicesFirst Health and the Mail Handlers Benefit Plan understand providers need to focus on patient care while being able to be paid quickly with minimal touching of a claim. That is why First Health and Mail Handlers offer a suite of electronic services to help make the claim submission process a success and with minimal Solutions include the First Health and Mail Handlers websites and Emdeon Office, a multi-payer solution for inquiries on eligibility and Service Call Center Call centers are located regionally throughout the United States with staff who are highly trained and understands provider issues. Practice Management Systems/Hospital Information Systems In addition to electronic claims submission, First Health and Mail Handlers eligibility and claims information as well as electronic remittance advices are available through many major practice management systems. Check with the software vendor to find out You Know?

2 A 2006 Milliman Study indicates that providers can save $ per claim when they submit that claim electronically vs. paper. The Study research further finds that by using electronic (EDI) services for your HIPAA mandated transactions can save a typical solo physician practice $42,000 a Milliman study Contact InformationAdditional information is available through the following contacts: First HealthSee member Claims800-845-6592800-813-0397 Emdeon Business ServicesERAsCall your software vendorProvider manualsGroup Lookup Group Name Eligibiliy/Benefits phone number Precert/Referral phone number Billing/Claims phone number Billing Claims addressUpdate DemographicsFormsNetwork provider SearchWhat options are available for submitting claims and getting paid? First Health and Mail Handlers goal is to help providers to get paid quickly and efficiently and, therefore, offer the following electronic payment options:Electronic Claims Submission (EDI)Submitting claims electronically can save a provider office a significant amount of money whether they are specialists, rural providers or an urban teaching center.

3 Contact the practice management system or hospital information system vendor for claim submission Remittance Advices (ERAs)Providers should work through their practice management system/hospital information system vendors to obtain ERAs from Emdeon. Through the provider office software, ERAs provide timely remittance advice reports and may automatically post claims payments. Over 240 payers with one user ID Standardized screens and responsesFlash messagesSecure email Multiple search optionsAuto-populate fieldsAuto-format fieldsExtended timeout grace periodCode lookupBatch transactions submissionFavorites lists Online Batch ManagerAllows the provider to submit multiple requests either individually or by uploading a file. Requests can be viewed when it is more convenient to do so. Batches can include multiple payers and multiple types of requests in a single EligibilityMultiple search optionsMember IDMember Date of BirthMember addressCoverage period dateOnline Claims InquiryIdentifies receipt of claimMultiple search optionsPatient demographic informationHIPAA statusHIPAA disposition codeClaim numberDates of serviceCharged amountPaid amountService ProviderWhat information and functions are available through Emdeon Office?

4 What is available on the First Health website?