Inovalon/Ability Connectivity Solution
As of this newsletter, Medicare Electronic Transaction options include clearinghouses and modems for both OnStaff Intellect and OnStaff Unix.
Additionally, Prime Clinical Systems has developed the Intellect platform to use Inovalon/Ability as an option.
Ability is a Service Vendor Provider that is contracted with CMS as a direct connectivity solution for your Medicare Transactions via a secure internet.
While not free, using the Ability Solution offers a more cost effective and long-term solution for direct connection to any "MAC" payer. Because Ability is contracted with Medicare directly, the contract will be between Prime Clinical and you (Provider/Client).
A number of advantages to sending your claims directly to Medicare via Inovalon/Ability include:
(1) Cost $55.00/month per Submitter ID (includes up to 10,000 transactions annually), any overage fees will be billed accordingly. This includes 837 (claims), 835 (ERA), and Report (999 and 277CA) transactions at this time.
(2) Direct connection.
(3) Same day turnaround for Claims and Reports (Eligibility at a later time).
(4) No long distance phone fees.
(5) No long distance phone carrier required.
(6) No modem, therefore no connectivity issues.
To get started with Inovalon/Ability, your office must already be sending directly to Medicare and have a Submitter ID and password. If your office is not already sending direct to Medicare and wish to send via the Inovalon/Ability Solution, please contact your MAC payer (Palmetto or Noridian) and ask to send claims directly.
Note: You must be on the Intellect version of OnStaff, and you must have a DSL connection.
For further information and to get started using Ability, please email Support@primeclinical.com and in the Subject line, please include your client ID, Inovalon/Ability information.