processMYclaims!™@your-claims-portal is an Internet-based service enabling health plans and other claims processors to embed processMYclaims!™ within their web portals to seamlessly collect, process, and exchange quality-controlled, HIPAA compliant claims from their claim submitters.

Getting into the electronic claims processing business is easy…when you don’t have to process the claims!

Processing electronic claims over the Internet is easy if you have:

• The right tools to connect to healthcare providers who submit claims generated by any of the 1,000 different provider practice management systems (PPMS) in HCFA1500, CMS1500, and NSF professional formats. (hcfa2HIPAA)
   
• Processes and procedures to enroll and implement providers, and to answer their questions. Edit and validation capabilities to quality control your claims and the claims of hundreds of other claims processors.
   
• Online reporting capabilities to provide errors, rejections, reconciliation and acknowledgements to claims submitters. Connections to provide an all payer solution.
   
• Comprehensive balancing and controls to insure accurate claims accounting and routing. HIPAA compliance for claims.
   
• Compelling pricing models to control your electronic claim transaction costs and to encourage claims submitters to connect to your portal.
   

Benefits to claim processing organizations:

1. A turn–key, plug–n–play solution.
2. No set–up fees.
3. Lower pricing for your claims.
4. Your claims edited and validated to your specifications (optional).
5. HIPAA compliance for claim transactions.
6. Nothing to host and no invasive requirements to your systems and/or procedures.
7. Routing options for your claims (i.e., direct or through an existing gateway relationship).

Submitter Minimum System Requirements