VALUE-ADDED SERVICES

Once Ecom PPO Advisors has guided you to the best customized networks, we supply value-added network administration at no additional charge. We further skyrocket your soft savings and streamline your operations by offering a single point of contact for total PPO administration and claims workflow management -- also saving you precious time. We first research, negotiate and procure PPO contracts. Then we provide comprehensive claims management services from start to finish: from imaging, data verification and clearinghouse, to repricing, tracking and reporting. Ecom creates and maintains a turn-key customized PPO workflow that easily integrates into your existing system. We match your company’s technological capabilities to our offerings -- from processing paper claims, to electronic interfacing with your claims systems. You can streamline as much or as little as desired, and can have us coordinate all services in house or interface with existing vendors. Ask us for more details or discover them on your own below: ON THIS PAGE: Scanning and Optical Character Recognition Repricing Claims Intelligence Portal "Ecom employees are experts in all areas of PPO administration. The people at Ecom PPO Advisors have always been great to work with and really strive to go beyond the norm." Health, Life and Disability Plans Manager, Self-Funded / Self-Administered   SCANNING AND OPTICAL CHARACTER RECOGNITION           Ecom PPO Advisors offers industry-leading scanning and document management technology, easily accepting standard healthcare claims and attachments. We take scanned images and converts the HCFA and UB claims data into an electronic format using Optical Character Recognition (OCR). Then you can view online both the claims and their designated attachments. Ecom works with most major national clearinghouses on behalf of its clients. We either establish a new Payer Identification Number for you, or transfer an existing one. These numbers are “owned” by the payer, not Ecom, and are fully transferable as needed. Ecom will retrieve claims on your behalf and integrate these claims into the workflow. We currently receive claims that are coming through the clearinghouses from providers and PPO networks.         REPRICING           Ecom PPO Advisors provides comprehensive PPO / repricing solutions for approximately 120 different nationally recognized PPO networks. Regardless of the repricing methodology, all claims are returned to you in your company’s specific format. We are thorough in repricing and auditing the claims to ensure accuracy. To illustrate the scope of our work and capabilities, we handle millions off claims each year, and process millions of EDI transactions annually.         CLAIMS INTELLIGENCE PORTAL           Ecom PPO Advisors’ Claims Intelligence Portal contains two key components: Online Client Service Web Tools and Internet-Based Reporting. Online Client Service Web Tools Online Client Service Web Tools can track all claims throughout every stage of the process, so you know exactly where claims stand at any moment. Even after Ecom has returned your claims, you can access claims data and images through our online tools for years. With in-depth claim search algorithms and scanned image retrieval via PDF format, these tools offer flexible data mining and business intelligence capabilities and ongoing access to your claims. Ecom's tools also provide Virtual Images via PDF, so that even claims which we received without actual images can be viewed and printed in a traditional image layout. Internet-Based Reporting Our standard reports include statistical information such as the number of in-network and out-of-network claims and discount information. With Ecom’s Internet-based reports, you can query claims for virtually every field within the HCFA and UB-92 claim format. This data is exportable via Excel and PDF so the reports can be analyzed by actuaries and management. This powerful tool provides business intelligence into the claims data repository, and is extremely user friendly.