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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
MedData Military Payers Billing & Follow Up Services can provide comprehensive collection and follow-up services on all patient accounts referred to us that have the potential for reimbursement from the Veterans Administration (VA), TriCare, TriWest, and CHAMPVA. Our VA leadership team, which includes the former operational head of Veterans Integrated Services Network (VISN), conducts regular on-site meetings or conference calls with the claims processing representatives. We are able to work with them one on one and often get same-day resolution. This service can include everything needed to transmit the bill and obtain reimbursement for the client, including: • Coordination of benefits to ensure billing of the proper primary payer. • Running the claim through our found insurance program to determine eligibility on other payer sources. • Upon final bill, transmitting the required billing information to the VA according to the guidelines established by the appropriate VA local office. • Implementing tracking procedures to ensure that both transmission and receipt of the billing information can be confirmed. • Follow-up on the bills until the account has been paid or denied. • Follow-up on claims through established conference calls with VA. • Face-to-face claim resolution meetings with VA (frequency depends on volume of claims pending with particular VISN). • Reviewing the account to ensure that the payment received was the proper amount. • If the account is denied or the amount paid was not the proper amount, appeal the account through the VA appeal system. • Working through batches of accounts alongside VA personnel onsite at the VISN. • Submitting claims with proper documentation in the proper order. • Pursuing the account through to resolution. • Providing reporting on the referred inventory.
About MedData:

MedData has been a tenured and trusted healthcare revenue cycle management services provider for more than 40 years, delivering technology-enabled and patient-focused RCM solutions, including Eligibility & Disability, Accounts Receivable Services (ARS), Injury Accounts (Workers’ Comp, Auto, etc.), Veterans Administration, Patient Responsibility/Early Out, COB Denials, and Out-of-State Eligibility. MedData has patient advocates from coast to coast and experience with hospitals and health systems of all types – large to small, rural to urban, nonprofit to for-profit – giving the company a nationwide presence with a local feel that’s scalable to any volume. Click the "Files" tab for downloadable content with more information about our organization.

Product Description:

Luma Health's mobile insurance upload product revolutionizes the way patients and healthcare providers handle insurance information. With just a few taps on their mobile device, patients can securely upload their insurance details, streamlining the verification process and minimizing wait times. This innovative solution enhances patient experience by simplifying administrative procedures, ensuring that healthcare services are accessed more efficiently. Providers benefit from real-time updates and reduced paperwork, allowing them to focus more on patient care. This user-friendly, secure, and efficient system is a testament to Luma Health's commitment to improving healthcare experiences for all.

About Luma Health:

Luma was founded on the idea that healthcare should work better for all patients. Instead of a disconnected experience, where patients are forced to be their own healthcare advocates and provider teams struggle to reach their patients, every point along the care journey should be simple, seamless, and effective. 

Luma’s Patient Success Platform™ empowers patients and providers to be successful by connecting and orchestrating all the steps in the patient journey, along with all the operational workflows and processes in the healthcare ecosystem.

Headquartered in San Francisco, Luma serves more than 650 health systems, integrated delivery networks, federally qualified health centers, specialty networks, and clinics across the United States, and today orchestrates the care journeys of more than 35 million patients.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Pop health platform, Behavioral health, Access +/or revenue cycle, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, Allscripts/Eclipsys, Athenahealth, Other, GE

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Luma's deep integration, breadth of market-leading platform solutions, and connection across a healthcare organization's tech stack makes next steps delivered to patients and staff more informed and actionable, differentiating our platform from patient engagement and experience vendors.

Luma customers report reducing phone calls and wait times by half, yet seeing record numbers of patients. Since 2020, HIPAA-compliant messaging between patients and providers on the Luma platform has increased by 50%. And most importantly, this increased ability to collaborate on next steps powers better clinical care. At FQHC Alexander Valley Healthcare, Luma reached 15% more Spanish-speaking patients and brought 38% more attributed patients in for care. Organizations using Luma report up to an 80% referral conversion rate, with patients receiving critical specialty care within days rather than weeks.

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1980

Founded in 2015

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