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WMCII provides the health care industry with an innovative suite of Electronic Data Interchange (EDI) solutions, enables healthcare
professionals to automate and integrate workflow processes that generate tangible operational efficiencies and drive-down administrative costs.
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eCare® Workflow Solutions:
- Patient Insurance Eligibility Verification,
real-time access to eligibility and benefit information, including effective dates, benefit caps,
co-payments, deductibles and other essential information.
- HIS Integrated Insurance Eligibility Verification,
real-time access to eligibility and benefit information, including effective dates, benefit caps,
co-payments, deductibles and other essential information.
- Web-based Physician Practice Management solution,
providing electronic claims submissions, real-time subscriber verification and real-time claim status
in addition to traditional high-end practice management software features.
- Claim Status, information includes things such as
Settlement Date, Settlement Amounts, Deductible, Co-insurance, Co-payment, Contract Limits,
Claim Messages and Adjustment Reason Messages.
- Patient Address Verification,
confirms the association between a person and his/her address
- Medical Necessity, validates rules defining medical
necessity for services provided at both the Physician-Clinics and the Hospitals.
- UPIN Locator,
a list of applicable UPINs of the concerned providers is returned.
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eCare® Services & Benefits:
- Single interface provides access to all payers
- Online submission of medical claims speeds reimbursement cycles
- Claims services support hospitals and physicians (UB92 & 1500)
- Standard electronic transactions (EDI) eliminate paper-based claims
- Immediate patient eligibility verification improves admitting process
- Automatic posting of payments significantly reduces administrative overhead
- Real-time claims status improves billing staff productivity
- Automatic error correction and notification reduces rejection rate
- Easy-to-use entry screens simplify workflow and reduces billing errors
- Comprehensive transaction database provides customized reports
- Secure private network ensures HIPAA compliance
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To learn more about our revenue accelerating and
workflow integrating products click on the
Health Care Workflow menu items.
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