In 1999, PRM’s Workers Compensation division began the development of an electronic process for administering workers compensation claims. Interesting how time goes by but the message remains the same – improve connectivity, reduce cost. Here is an excerpt from an original marketing piece:
“ Health Management Online, Inc., has gained recognition by leading the quest for more efficient management of complex healthcare insurance billing, especially those documents needed for workers compensation.
Using a combination of existing technologies already used in provider offices, bills and clinical notes can be uploaded to HMonline either by fax or by electronic file transmission.
That’s where the magic begins.
The clinical notes (essential for reimbursement) – either faxed or sent electronically – are read into our secure database, interpreted and cross-indexed automatically. All the necessary documents are thus married, cannot get separated, are edited (scrubbed in healthcare parlance) and submitted to the insurance carrier immediately – same day.
All the mail lead-time and paper handling is eliminated from the process.
Thus a labor and time intensive task is reduced to a simple, automated process that virtually eliminates costs and saves time. The result is a win-win for all. Providers win because costs are saved, there is less work and rework, and reimbursement is faster. Insurance carriers win because document-handling costs are slashed. Third party administrators and employers also win with cost-savings and sheer efficiency coupled with accurate online access to their information to what they need when they need it.
A bonus to providers enables them to use a HIPAA secure web portal to monitor their bill status in the reimbursement process any time. This further reduces costs because everyone spends less time on the phone (or on hold).
HMonline’s solution is unique. It offers immediate savings without penalty and without needing re-investment in new technologies by users. Better yet, all the disparate departmental systems that store and process healthcare billing and insurance information as well as clinical notes can now participate in an collaborative solution that overcomes traditional proprietary technology boundaries.
HMonline turns a process once dreaded by providers into a simple, cost-effective and aggravation-free automated function that makes sense.
HMonline is upholding Connecticut’s reputation and tradition as the insurance capital of the world by bringing such innovative solutions with real paybacks to the insurance industry and those that they insure. “
