| Claims Processing:
Mentor Minds provides expertise in generating HIPAA
standard EDI X12 837 from paper based HCFA, CMS 1500
and UB92/UB04 forms. Our team understands claims (Professional
and Institutional) and the associated business rules
as mandated by HIPAA to generate a 100% electronics
claims submission that significantly reduces administrative
costs, improves auto-adjudication rates and reduces
the overall cycle time.
We also offer various models of delivery while processing
claim forms which include on-site application development
using our claims processing frameworks, hybrid model
where providers can reuse existing scanning infrastructure
and leverage hosted claim processing services by Mentor
Minds or as a completely outsourced service.
Our execution teams strictly adhere to our organizational
processes and standards while delivering applications
as well as services.
Explanation of Benefits: Our insights
and experience are derived from extensive solutions
developed for providers in the area of understanding
Explanation of Benefits (EOB) from various payers. Mentor
Minds provides generic frameworks that can be adapted
to generate HIPAA EDI X12 835 files for consumption
by a variety of Practice Management Systems.
The frameworks are built to adapt to provider business
rules supporting HIPAA standards. Mentor Minds leverages
its existing claims expertise and validates all data
either in paper format (EOB) or electronic (ERA) against
existing submitted claims prior to generating the EDI
X12 835 files allowing for identification of zero pays,
secondary billing opportunities, denied claims etc.
Mentor Minds provides multiple integration mechanisms
to the backend practice management systems via 835 or
XML allowing for seamless posting of the payer data.
Mobile Healthcare Applications: Our
ready to use framework MobileMentor allows for mobile
enabling any existing application within the provider’s
infrastructure rapidly. It allows for accessing information
at anytime and anyplace using wireless network systems
and smart mobile devices (iPhone, Blackberry, Windows
phones and other devices). Applications such as patient
queries, doctor and nurse scheduling, prescription drug
refills, medical records lookup etc. are some of the
applications where mobility can be deployed. The framework
provides multiple levels of security and can inherit
the existing authentication mechanisms already deployed.
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