Solutions for Payers
Core Payer Network
Payspan’s Core Payer Network enables the processing of electronic payments (EFT/ACH) and remittance information (ERA) for payers. This turnkey solution satisfies the CORE CAQH Phase III operating rule requirements for ERA/EFT and empowers payers’ compliance with this mandate. The Core Payer Network also features a multi-payer, fully electronic provider enrollment process, a provider self-service portal, and provider outreach services to drive maximum value and adoption while reducing administrative costs.
Payment Models
- Payer to provider – allows providers to make EFT payments
- Payer to member – connects the payer and member for direct payment and collection
- Payer to vendor – enables payer financing and provides early pay options for vendors
Benefits:
- CAQH ERA/EFT compliant
- Reduces administrative/operational costs
- Improves provider satisfaction and payment auto-posting
- Ties payment information to claims data in a single view
- Gives providers unprecedented flexibility for payment management
- Eliminates paper remittances and paper check payments
- Easy four-step, fully electronic provider enrollment
- Allows use of providers’ existing bank accounts
- Electronic workflow and email payment notifications
- Electronic delivery or download of 835 and remits in PDF form
- 18-month history available online
- Payspan print output services available
- Electronic provider messaging options through Voice and Communicator
How it works:
- Payer sends Payspan list of credentialed providers
- Payspan provider outreach services notifies provider to add new payer or register/enroll on Payspan.com
- Payer sends “ready to pay” claim disbursement file to Payspan
- Payspan generates 835 transactions, remits and mitigates electronic payment to the provider
- Provider receives electronic payment notification via email
- Provider receives 835 via direct secure file transfer, through their designated clearinghouse, or by online download
- Provider and payer view transaction activity on Payspan.com