FAQ

It is a Claims Service Consisting of the following major components:

• Rules Engine Programs for validating initially submitted claim data against payer specific rules and requirements before claims are submitted to payers. These programs are integrated with the clearinghouse services so that customers can choose to submit only error-free claims to payers—as well as override certain reported errors to submit any additional claims to payers. Customers are also provided with error reports to facilitate claim data correction within their Management Information System.
• Clearinghouse Services for the submission of claims to payers, the retrieval of payer responses and the retrieval of Electronic Remittance Advices (ERAs).

Claims Submission for sending MIS generated claims files to the Payer for further processing. Files are transmitted using standard dialog boxes for sending files. Both professional (HCFA 1500) and institutional (UB92) claims are processed. Customers do not need to indicate which type of claim file is being sent.

The preferred format is the ANSI 835 4010, though ProRemit^TMcan accept a variety of other formats including a print image file. Files that are not in an 835 format are converted to an 835 format within the ProRemit^TMsystem.

The payer maintains full care, custody and control of funds until the funds are received by the provider.

• Payer originates payment file
• Payer transmits file to HT
• HT validates, parses and loads file
• Electronic transactions processed directly from payer bank account to providers
• Paper transactions routed to print/list production
• Paper remittance and check mailed to provider
• Paper checks presented for payment by provider

• Payer establishes zero balance account
• Items are presented for payment
• Payer is notified of each day’s cleared payment transactions
• Payer deposits amount sufficient to cover presented items Bank clears payments
• Bank images paper checks as they are processed
• Complete transaction reconciliation file is transmitted to payer cash management system each day

No.

No. Providers may choose to accept data electronically or on paper.

The CashTechCard^TMis not a credit card. You can only spend what has been loaded to your card.

The CashTechCard^TMis a prepaid Mastercard® funded through a deposit that you can use to make authorized purchases up to the amount available on the Card.

The CashTechCard^TMis used just like a Mastercard® to make authorized purchases. Each time the Card is used, the amount that is spent will automatically be deducted from the balance remaining on the Card.

Always select the "Credit" button. Although the Stored Value Card is not a credit card, the transaction is processed on the credit card system connected to the card swipe machine.

The Unrestricted CashTechCard^TMwill be accepted anywhere Mastercard® is accepted. The Flex Direct CashTechCard^TMis only valid for authorized healthcare purchases.

Employee benefit programs

• Flexible Spending
• Transit Reimbursement
• Parking Reimbursement
• HSA
• HRA

Travel and Expense Reimbursement

Corporate Expense Management

Payroll

All claim files are validated against payer specific rules and requirements as part of the Claims Submission process.

All claim files are validated against payer specific rules and requirements as part of the Claims Submission process.