MediHawaii supports compliant use of American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N Health Care Insurance standard transactions, custom transaction formats, business-to-business (B2B) integrations, and robust workflow electronic data interchanges.
Healthcare Providers
Benefits
Lower billing and collection costs by completely eliminating costly and time consuming paper claims from your universe. You will now be able to submit all of those bills electronically through MediHawaii in a “single” pass, without having to create “stacks” of bills for each Payer.
Relax knowing your bills and documentation were received by the Payer. Through our verified delivery – you’ll know it got there and when it got there. If you ever need “proof of delivery” – it’s available on the MediHawaii web portal any time you need it.
Improve your effectiveness and efficiency in billing and collections by managing all of the bill submissions and related information on the MediHawaii Portal. The availability and organization of the pertinent information will empower you to accomplish more in less time.
Maximize your Clean Claim submissions. Your bill data will be pre-validated against MediHawaii’s base rules and specific Payer rules so you can promptly correct any issues on the MediHawaii Portal prior to submission. This will result in less rejections later in the process and quicker payments to you.
Existing electronic connectivity to over 3,000 payers in the U.S.
Connectivity to Hawaii’s Group Health Payers is coming soon at Group Health rates.
Options for Submitting Bills to Payers through MediHawaii
using your current Practice Management Software
MediHawaii Web Portal: The MediHawaii portal is an application designed to provide a secure, single-source solution for bill creation, submission, tracking, remittance reconciliation, reporting and business intelligence. You can generate an electronic bill file from your current practice management software and upload to the portal with the corresponding attachments. If you don’t have billing software, you can generate your bills right on the Medi portal at no additional cost.
Direct Submission through SFTP. Best for large volumes. Generate the electronic medical bill files from your current billing/practice management system and transmit securely to MediHawaii. We will set up the EDI integration with you at no additional cost.
Fax-to-EDI: Fax bills and attachments to MediHawaii. They will be fully converted to electronic bills and image files for attachments and accessible on the Medi Portal.
What is included
Simple and flexible Billing and Documentation submission options.
Bill tracking and tracing so you always know where your bills are in the payment process.
24/7/365 Information Availability
MEDI eBilling Web Portal: for Submissions and Research/Business Intelligence/Reporting for more efficient billing and collections.
Document “Repair” – where you can correct rejected submissions on-line, in real time, without the long paper cycle times.
Electronic connections for submitting bills and supporting documentation to payers in Hawaii and over 3,000 payers in the U.S.
No-cost eBilling integration with your existing practice management / billing system.
Free Transmission and Encryption software
No-cost system integrations. We will help you get securely connected at no additional cost.
Business Terms
No long-term contract. 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.
$0 per bill charge for submitting your electronic bill to certain insurers who cover your submitter cost. This includes attachments.
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 the transactional costs of our services.
Single $.99 per bill charge for submitting your electronic bill and documentation to Payers whether the delivery is paper or electronic. This includes all attachments and positive confirmation of delivery to payers, even for paper-delivered bills.
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. There are no setup charges or monthly minimum fees.
Direct-to-Mail Services: $1.50 per transmission.
Used for secure transfer of bulk medical records to third parties like attorneys, life insurance companies, or other entities which request you to provide patient medical records.
Technical Details
State and Federal Compliance
At MediHawaii, the confidentiality and integrity of protected health information is one of our highest priorities. We fully support and are compliant with the Health Insurance Portability and Accountability Act (HIPAA), HITECH, and all state jurisdictional requirements.
Accreditations and Certifications
The MediHawaii SaaS platform has been EHNAC HNAP accredited, and is actively working towards attaining its HITRUST and SOC2 certifications in 2018.
