Operating Rules Mandates
As a Phase I and II CAQH CORE fully certified organization, Post-n-Track is able to provide your company with an easy way to quickly comply with the Operating Rules mandates. Using Post-n-Track as a proxy allows you to meet the requirements of the business functions you outsource to us, leaving you worry-free. Learn how.
Due to the regulation and mandating of the ICD-10 codeset, health plans need an effective way to crosswalk the legacy ICD-9 codes to the ICD-10 codes while they are converting and testing their systems. The Post-n-Track platform can effectively manage multiple codesets and more importantly accept the new code from the submitter and deliver the ICD-9 equivalent or default to the payer and return the originally submitted ICD-10’s on the resulting transaction back to the original submitter. The solution assists you in maintaining compliance while you upgrade or complete the enhancements to your back-end systems.
The CORE mandates are fast becoming the business norm for healthcare payers conducting real-time eligibility. Whether it is a portal, vendor integration or direct connection to the provider, the Post-n-Track web services platform for real-time is the ideal way to maximize the adoption of this transaction.
While the 275 has yet to be mandated, the paper claims you receive are largely due to attachments and documentation. Post-n-Track has multiple solutions that allow you to effectively intake and index non-standard attachments and allow your claim reviewers to process the claims by viewing the attachments with our online system. Our clients have had varying needs around this solution and the ability to create a customized attachment work flow is at the core of the Post-n-Track platform.
Real-time Claims Adjudication
The Post-n-Track solution has successfully processed thousands of claims in under 10 seconds for one of the nation's leading payers. We will work with you and your providers to determine the work flow necessary to deliver back an adjudication message in real-time. Your providers and the marketplace has asked for this solution and Post-n-Track is ready and has working deployments in place that will assist you in realizing a return on your RTCA investment.
Coordination of Benefits
Most payers estimate that 75% of their paper volume today is due to COB claims. Post-n-Track has worked with the nation's leading healthcare payers on solutions that deliver the COB claim electronically to your claim systems. We will work with you to understand where the transactions are coming from and deploy a solution that effectively reduces this expensive paper channel with measurable results.
Your Administrative Application
The Post-n-Track Healthcare Services Platform has been designed and built to cater the next generation of applications and to adapt to your changing and specific needs. Contact us to understand how Post-n-Track can enable your next strategic need.