Payerpath, A Misys Company

Payerpath Continues Nationwide Expansion with New Contracts

Growing number of forward-thinking healthcare organizations turn to Payerpath to help meet claims management needs
Richmond, VA (November 9, 2005) — Payerpath Inc., a leading provider of Internet-based financial transaction solutions for healthcare providers, hospitals and payers, today announced its continued expansion into new markets through contracts with Columbia St. Mary's Healthcare (Milwaukee, Wis.), Modesto Radiology (Modesto, Calif.), Northridge Chiropractic (Crawfordsville, Indiana) and Vista Radiology (Knoxville, Tenn.). The company currently provides direct connections to payers in 30 states.

"It is our belief that healthcare is locally driven, so as Payerpath expands nationally, we will continue to focus our efforts on establishing relationships with the dominant payers in each individual market," said Jim Riley, vice president of sales for Payerpath. "This approach enables us to develop close, interactive partnerships with payers and providers, thus leading to reduced claim denials, better reporting and expedited payments for our provider customers."

Payerpath's suite of Internet-based products includes:

  • Claims Management - Offers a secure method for electronically submitting claims to healthcare organizations.
  • Eligibility Verification - Provides real-time access to insurance eligibility and benefit information, including effective dates, benefit caps, co-payments and plan policies.
  • CodeCorrect - Helps billing staff quickly select appropriate billing codes and stay current with constantly changing requirements.
  • CodeCheck - Provides immediate alerts of potential coding and compliance issues prior to payer submission.
  • Secondary Billing - Generates a secondary claim electronically, applies secondary specific payer edits, creates a matching EOB and completely manages the printing and mailing.
  • Claims Status - Enables real-time queries to payer organizations to determine the status of a transmitted claim.
  • Remittance Posting - Eliminates manual remittance advice handling.
  • Patient Statements - Provides a turnkey service for producing and mailing patient statements and third-party payer collection letters.

This suite of products helps provider groups better manage the entire revenue cycle, not just the claims submission process. Columbia St. Mary's Healthcare (200 physicians) will use Eligibility Verification. Modesto Radiology (21 physicians) will use Claims Management, Eligibility Verification, Claims Status and Patient Statements. Northridge Chiropractic (Single physician) will use Claims Management and Eligibility Verification. Vista Radiology (23 physicians) will use Claims Management, Remittance Posting and Eligibility Verification.

About Payerpath
Payerpath is a provider of Internet-based financial management software applications and related services for healthcare providers, hospitals and payers. The company's comprehensive suite of applications, led by Payerpath Claims Management, address all steps in the reimbursement cycle—from verifying patient eligibility and correcting inaccurate claims to managing remittance and generating secondary billing. Consequently, providers are able to reduce administrative costs and eliminate payment delays for healthcare services resulting from claims denials. For more information, visit www.payerpath.com.

For Additional Information Contact:

Payerpath - Brian Parrish
bparrish@dodgecommunications.com
770-663-6343, ext. 226