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FAQ

Business Problem: The Great Paper Chase: Your #1 WC and Auto Billing and Collection Challenge:

You’re submitting your bills by mail. First, handling, managing, and mailing paper billing is time consuming, resource wasteful, and expensive. Second, unless you use USPS Certified Mail (more expensive option) – you do not know if the insurer ever received your bill or whether they received it timely. So you wait and hope you receive payment soon. If not, you spend (waste) time and resources following up or submitting a duplicate bill. If timeliness issues come up pertaining to statutory or regulatory guidelines, you have no proof of your billing submission or the actual timing of its delivery.

The MediHawaii Solution:

Use MediHawaii to submit all your WC and Auto billings electronically.  Rather than billing each insurer individually, you can submit all of your WC and Auto billings (Group Health Coming Soon) to MediHawaii all at once.  MediHawaii will then deliver your bills to each individual insurer, allow you to track each bill on-line, and provide you with proof of delivery when it reaches the insurer.  The MediHawaii web portal will enable you with built-in Business Intelligence to make your billing/collection process more efficient and effective.

How does it work? What do I need to do? Any special software required? Cost?

Enroll on the MediHawaii portal, nothing else.  You can continue to use your current billing/practice management software to create and submit electronic bills and images of supporting documentation.  You create the electronic bills and attachments, MediHawaii positively delivers them for you with delivery tracking and proof of delivery.  If you don’t have your own billing software, you can even create and manage your billing and collections directly on the MediHawaii portal – at no extra cost.

Here’s what MediHawaii will do with your electronic bills and documentation:

1.      Deliver electronically to insurers who can accept electronic bills.  MediHawaii will provide you with an electronic date and time stamped proof of delivery and tracking through the delivery, bill receipt, and remittance process – accessible to you right on the MediHawaii web portal or delivered electronically directly to your practice management system.

2.      For insurers who only accept paper bills, MediHawaii will turn batches of your electronic bills into paper bills and deliver via USPS to the individual insurers.  We have implemented our IntelligentMailTMtracking system with the USPS whereby you can track the item on the MediHawaii web portal.  Second, we will provide you with Proof-of-ServiceTM (POS) whereby your billing is processed through our clearinghouse and

What is the cost? How do I pay? Do I need to sign a long-term contract?

The cost is $.85 per bill and includes attachments.  You pre-pay in $100 increments with your credit card.  The commitment is for a 30-day period with no volume obligations.  If you cancel at any time, the unused portion of your fees will be promptly refunded.  For all the transactions processed on your behalf we will generate a detailed Statement and charge your credit card at the end of the month.   This automated, credit card-based billing and collection process helps us both reduce transactional costs associated with billing and collections.  If your group has high volumes, we can offer you a large submitter agreement that may also offer discounted fees and generate a monthly invoice instead of charging your credit card.  Some WC and Auto insurers will pay your fees so your cost will be zero.  As we grow our electronic “ecosystem” with your support, we will request more and more insurers cover the provider’s transactional costs with MediHawaii with the goal of driving your transactional costs to $0.

How do I get started with MediHawaii?

Simply click the website link to create account. You will be directed to our on-line enrollment process and be done in minutes. MediHawaii is so easy and simple to use, you’ll be a pro at it in no time. Our customer service support team is available to help you by phone or on-line. Need to meet face-to-face? We can do that too.

How can I submit my bills to MediHawaii?

We offer multiple ways for you to submit your bills to MediHawaii:

1.      Output an electronic flat file of bills and images directly from your software and send to MediHawaii via SFTP.

2.      Output an electronic flat file of bills and images directly from your software and transmit to MediHawaii via the secure MediHawaii web portal.

3.      Fax bills and supporting documentation to MediHawaii.  We will convert to EDI for submission to Insurers.

In all cases, you can use any combination of these options to meet your needs.

What if we want to switch back to submitting bills on paper or through another clearinghouse?

No problem. You can stop using MediHawaii at any time. We will promptly and fully refund any unused amounts in your account.

Can I submit Group Health claims too?

Not yet, but coming soon! MediHawaii is currently working to establish electronic connectivity with Group Health insurers in Hawaii. When available, we will offer our full electronic connectivity for Group Health at a lower cost than WC and Auto claims.

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Behind the scenes

MediHawaii is a division of Solera Integrated Medical Solutions, a Hawaii-based company with a history of success in medical claim processing for workers compensation, automobile, group health, and liability markets since 1993.

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P. (808) 531-2273 ext. 25
F. (808) 599-2774

841 Bishop Street
Suite 2250
Honolulu, HI 96813

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