We have implemented solutions which provide operational efficiencies and significant cost savings by delivering:

• Automated provider payments & explanation of benefits
• Automated Form 1099 production
• Automated Indemnity payments with ATM cash card options
• Settlement checks
• Future Medical benefit payments
• Customized check production services to meet all payment requirements and needs

Check Production processes virtually eliminates:

• Duplicate payments
• Check fraud
• Mail and related print operating expenses
• Printing
• Paper stock
• Postage
• Equipment expense
• Staff time

Industry Knowledge & Experience

• Leader in Managed Care services
• Provides services for 425 clients
• Partners with established Bill Review and Claim Systems vendors
• Target markets
  • Property & Casualty insurance carriers
  • Third Party Administrators
  • Health & Welfare pensions, and other labor management trusts
  • Self-Administered programs

Industry Knowledge & Experience

HIPPA Protection -- HIPPA Compliant

• We are compliant with the American National Standards Institute (ANSI) Claim 835 Transaction, Version 4010A1*
• Our processes include...
  • Receive / distribute 835 remittance data
  • Hard-copy documents reproduced from an 835
  • Automated Clearing House (ACH)
  • ACH delivery of remittance funds for providers, including the creating of ACH file format, delivery, error handling and reporting
• Electronic remittances facilitate the transfer of claims paid information to your organization in a standard data format supporting your current HIPAA process

*The ANSI Claim 835 transaction, v.4010A1 is the accepted standard of the 1996 Health Insurance Portability and Accountability Act (HIPAA-AS) identified as a suite of uniform, national standards for transactions, unique health identifiers, code sets for the data elements of the transactions, security of health information, and electronic signature.

Claim System Check Process Flow

 Check Process Flow -- Workers' Compensation

Streamline

• Process Improvement
• Streamline work flows and processes
• Client accessibility
• Production capabilities
  • IT enhancements
  • Data storage

Streamline: Client Access System

• Client access system
  • Client has complete control of the process through the use of encrypted Web technology, and without changing any end of day processes, payers retain more control of the production process
• Superior process controls
  • Secure logon control allows for specific user configurations
  • System incorporates control and audit tracking mechanisms
  • Tracks all incoming files and provides file transmission history
  • Allows the payer to hold files, or parts of files, pull documents and purge files if needed
  • Provides a claim history for client to view individual documents
  • Maintains complete history of all transactions performed on the system

Implementation Process

• The InterMed implementation team will provide a systems and data analysis to determine project scope
  • Complete implementation time frame is 4 to 6 weeks
• InterMed will develop and implement a customized file interface and assist in the integration to your current systems
• Rigorous pre-launch testing insures data integrity and validates positive pay banking integration
• All check data files are electronically sent back to desired target system

Implementation Process Procedures

• Step 1 -- Platform Designation
  • InterMed and client determine which implementation platform will be utilized
• Step 2 -- Required Client Software
  • Data Encryption technology
  • FTP software capabilities
• Step 3 -- Data Collection
  • Authorized signatures are collected for bank account use
  • Logo selection (to be used on all communications)
  • Bank specification forms or MICR samples
  • Group rules (specific information for individual groups that may include routing, second signature requirements, logos or bank information)
  • Samples of client documents currently in use
  • Implementation Process Procedures
• Step 4 -- Client Testing
  • Sample file test transmission
  • File confirmation that InterMed received all documents within the file
  • Client provides multiple test files for InterMed to process for client data integrity
  • Create custom form design, if required
  • Process test checks sent to the bank for verification
• Step 5 -- Administrative
  • Contract signed
  • Postage paid to InterMed (projected average postage deposit for first 2 months)
  • Group rules approved
  • Final authorization from client to send the first live file

Savings

• Mail and related print operational savings
  • Printing
  • Paper stock
  • Postage
  • Equipment expense
  • Staff time

Summary

• Average cost savings of 50% off current expense for processing
• Workflow process revision
• Comprehensive service delivery to clients and payers
  • Private label capability
  • Positive pay banking
  • Customization to fit client’s needs
• Fully integrated with existing client systems
• Proven implementation process
• Virtually eliminates check fraud
• Website access to control and track processes