April 2007 | Volume VI, Issue 4

DataPath Fax Services
Increased Efficiency Through Best Practices

The new DataPath Fax Services solution is an excellent way to reduce time and paper for claim entry.  How does this work and how will it help you process claims more efficiently?  Let’s take a look at two scenarios.

Scenario #1 - Paper
One of your customers, an FSA Health participant, faxes a completed claim form along with substantiating documentation to your Administration office.  You walk to the fax and pick up papers, sorting through, separating the documents by Employer or by staff member.  You have your claims and return to your desk, placing the stack of new forms and receipts in the already full In-box.  Now you start the GCP and begin to enter the claims.  After the claims are entered, you need to file them.  Maybe you get up and walk to the filing cabinet, open the drawer and search for the proper folder to deposit the forms.  Oh, and by the way are you keeping that filing cabinet secured?  HIPAA and SAS70 are serious realities in today’s privacy/security conscious market.

Scenario #2 –DPI Fax Service
One of your customers, an FSA Health participant, faxes a completed claim form along with substantiating documentation to your office’s fax number.  Except, this fax number is housed at DPI and the received faxed is automatically imaged and converted to a PDF format for storage on myRSC.  You start the GCP module to input claims, but you notice a new feature.  You see the faxed claim and receipts on screen.  You input directly into the GCP, and when you save the claim record, the imaged fax document is automatically tied to your claim.  It’s then automatically filed and stored on the myRSC ready to be viewed by your customer.  No paper filing, no physical security issues.  HIPAA and SAS70 requirements are satisfied and without leaving your desk you move to the next claim to enter. 

Why look through paper records of claim submissions when you can have the claim form right in front of you instantly to enter it in the system?  Why not have paperless claim entry and processing while offering a direct connection between the claim entered and the actual received fax? 

How can I avoid the headaches of Scenario #1?
DataPath Clients that have the Fax Service will be given a specific number for faxing so that participants will be able to fax in both their claim form and receipt.  The Fax Service solution will convert the faxes to PDFs.  The PSP can enter the claim off of the information on the PDF claim form with receipt and will be able to attach the file to the GCP claim form, ensuring accuracy in the claims entry process or during editing.  Additionally, once a claims processor has checked a fax, it will be locked to prevent duplicate entry. 

Here’s the best part: when a customer calls and questions a reimbursement, you simply search for the claim and there is a link you can click to view the imaged claim form and receipts.  Everything is at your finger tips.  No more searching through filing cabinets or digging through years’ worth of past boxed documentation.  The myRSC can catalog and store your claims forms as long you want to keep them.

The Fax Services solution will reduce time spent thumbing through papers while trying to find a claim form and will increase the accuracy of claim entry by putting the original forms at your finger-tips any time you need to enter a claim or make a correction. 

LEGAL DISCLAIMER: Material contained in this newsletter is not legal advice, and should not be construed as legal advice. If you need legal advice upon which you can rely, you must seek a legal opinion from your attorney.

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© DataPath, Inc. 2007