Medical Banking

Medical Banking outsources costly remittance and EOB processing with a solution built on industry-proven, best-of-class sourcing and advanced technology components.

The high cost associated with processing paper Explanation of Benefit (EOB) forms can now be eliminated. Based on the latest advancements in “pattern recognition” technology, the MetaSource processing solution achieves unsurpassed data accuracy and processing speed. This powerful system delivers EOB processing accuracy rates as high as 99.9%.

With many customers using the technology today, MetaSource supports:

• Fully Automated Workflows
• Multi-level Balancing of Debits and Credits
• MICR Look-up for Patient ID, Payer
• Check Conversion to X9.37, ACH
• Extensive Reporting & Client Notification

MetaSource's Medical Banking Services provides cost containment and improved turnaround for remittance and EOB paper processing.

• Full EDI transaction set accelerates processing and maximizes useful business information
• Aggregation and normalization of all EDI and transactional data regardless of source
• Drill down/look up of associated data as part of workflow
• Easy real-time report creation for denial management and KPI metrics
• Full data and image export to archive redacted as needed
• Automated re-association of 835 transaction with original 837 transaction, accelerating the reconciliation process and facilitating denial management and recovery

There is no longer a need to fear the payment reconciliation nightmare.

MetaSource facilitates electronic remittance payment file management and reconciliation.The MetaSource Medical Banking Solution re-associates the health care claim and the electronic remittance that clearly defines which procedures and covered services have been reimbursed by the health plan. This allows for clean and efficient electronic reconciliation.

For those events where remittance is still received in a paper format, MetaSource’s reconciliation environment allows:

• The client to reconcile its account receivables online without the need for paper based reconciliation techniques.
• Provider access to the electronic explanation of benefits (EOB) to view or download for patient records.
• The provider to access to real time business analytics via the MetaSource web-portal.

MetaSource goes beyond providing simple claim volumes by providing business analytics tools allowing the provider to more effectively manage A/R and improve communications with payers.

Business analytics tool:

• Allows providers to produce robust analytical reports that are fully dynamic.
• Produces reports that relate to practice financials, business models, marketing techniques / target markets.
• Provides simplistic search capabilities or canned reports since every practice is unique.
• Provides multi-office and multi-provider practices with the information they need to perform analytics across all of their offices and across all providers.

MetaSource provides cost-effective resources with industry-proven, best-in-class technology components to deliver:

• Significant improvement in turnaround
• Maximum acceleration of revenue cycle
• Exception processing & elimination of data entry errors
• Single process for billing and imaging systems
• Faster search and retrieval of images
• Single, redacted image for each patient
• Denial management workflow

Key features of the Medical Banking solution include:

• HIPAA compliant user security
• Workflow/queue management
• Scanning/validation from remote sites using MetaSource Scanning Kiosk or customer-generated images
• Multiple, simultaneous data & image exports

For more information contact:

Chuck Ramsburg,
VP Healthcare Admin Services
Office – (410) 452-5076
Mobile – (410)937-7363
cramsburg@metasource.com| www.metasource.com