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Electronic Claims Submission

HCRnet claim submission sytem enables you to submit claims using your web browser ( no new software or hardware is required or any upgrade does not prevent you from using our system), view reports from us and payers, and track your claims. To submit claims to our system, first use your practice mangement system to store the claims you want to submit in a file on your system, then launch your browser and goto HCRnet's web address (www.hcrnet.com or www.hcrdata.com). Enter your user id and login name, then tab the Upload File button and search the file you created on your system to upload and press Send File button.

Support & Claim Status Reports

Claim status reports from HCRnet and insurance payers are available online within 24 hours. The HCRnet reports, after each claim scrubbing and editing, are posted online; 277 and other reports from the insurance payers depending on its availability from the payers. When HCRnet receives electronic claims from providers, each claim is checked at the clearinghouse for format and syntax errors. If HCRnet identifies an error, the claim is rejected by us and is NOT sent to payers. HCRnet will provide you with a claim status report, listing the error reason for each rejected claims within a few minutes of the claims submitted and this lead to early correction and resubmitting the claims.

Remittance Advice (ERA)

Electronic Remittance Advice (ERA) is an electronic form of your paper Explanation of Benefits which provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The industry standard for sending ERA data is the HIPAA X12N 835. HCRnet offers to make ERA reports available online on the same format at no extra cost. HCRnet's ERA service can shorten the reimbursement period by making reports available online as soon as they are received from the payers so that they can quickly be viewed or printed as needed. This will improve providers' productivity by knowing in advance which claims have been paid and in what amount and also help process secondary claims much faster.

HCFA Printing

HCRnet aggregates papaer claims and prints them in HCFA 1500 and post them to the payers. Reports for claims or any errors related to paper claims is available online for providers.

Eligibility Checking

Insurance verification is recommended to prevent write-offs and collections caused by uncovered rendered services. Traditional telephone verification is time-consuming and cumbersome. HCRnet offers eligibility confirmation of patient insurance and benefit coverage which reduces or eliminates expensive write-offs and collections.

Online Secondary Claims Entry

If we have the primary claims already in our database. we have an easy to use online form to fill secondary claims info which we then generate the secondary claims and process and send it to the insurance coampanies.

Our EDI Solutions

What solutions can you help with?

EDI Transactions

Revenue Management Cycle

Electronic Health Records