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Solutions
Description
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Use cases
EHR integrations
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
ProPay
ProPay

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Categories

Solutions

Description

Product Description:
ProPay accelerates the use of multiple electronic payment modalities, eliminating paper-based alternatives.
About Jopari Solutions:
Since 2003 Jopari has spearheaded insurance industry efforts to eliminate paper and frictional costs from medical claim transactions. Today, their team offers unrivaled expertise in customer-centric, compliance ready digital solutions for: medical claim submission, delivery and workflow; payment and remittance processing; Attachment exchange; and status communications. All supported by intelligent portal based tracking, search, archive and audit capabilities. Their best-of-breed electronification platform builds ROI quickly by cost-effectively modernizing end-to-end medical claim processing. Lower loss adjustment expense for Payers. Improved revenue cycle performance for Providers. Higher service levels for all.
Product Description:
MedData uses Predictive Patient Scoring and Segmenting Technology as an important component of our Patient Responsibility/Early Out Services. With this technology, patient data is scored and segmented with predictive analytics to determine propensity to pay. Highly accurate results inform proactive patient outreach with personalized financial data that simplifies the process and drives faster account resolution. This technology ensures that monthly payment plans are tailored specifically to the patient’s financial situation to encourage best outcomes. MedData’s Patient Responsibility/Early Out Services take a patient-focused approach to self-pay account resolution, making it simple and easy for patients to pay with many different means to resolve their bills. We also make the overall process as fast and convenient as possible by offering patients a variety of methods to get involved – phone calls, texting, self-service, payment portal – and we’re there if they do need help. Our philosophy of patient education and compassionate customer service is a key component to our success. We focus on helping patients understand the post-clinical process by providing education on their statement, their balance, and their insurance options. Our dedicated, U.S.-based patient service center has hundreds of Patient Service Representatives (PSRs) with expansion capacity to scale with our clients’ business and we have bi-lingual staff in our call center and translation support for multiple languages. We have a First Call Resolution rate that consistently exceeds 90%. The first time we speak with a patient, we do whatever we can to solve their issue right then. That could mean taking payment in full, setting up a payment arrangement, or calling an insurance company together to help walk the patient through what’s taken place. Our operations and patient pay management system empowers PSRs to have the right information at the right time to customize each call per client and patient. MedData’s PSRs are trained to handle all types of accounts to ensure increased call volume scenarios are handled well within our aggressive quality control requirements. Patients can be overwhelmed by multiple hard-to-understand bills from different sources. We consolidate their bills and provide an intuitive statement to eliminate confusion and make it easy to understand what they owe. Our statements are designed to incorporate client branding and color coded according to urgency – green for timely statements, orange for late statements, and red for statements close to being sent to collections. Our propensity to pay tool uses hundreds of demographic data points to identify patients where additional communication and education can help resolve accounts sooner, as well as what format to use – hard copy statement, phone call, text, etc. The scoring system also can be built to fit contractual recommendations from the client. This technology ensures that monthly payment plans are tailored specifically to patient’s financial situation to encourage best outcomes, and it does not impact the patient’s credit report. With our patient texting technology, you can send first statements directly to patients’ smartphones. It’s much faster than mailing a paper statement and requires less effort for patients to respond, which helps drives patient engagement and improve collections. Our online payment portal is designed to streamline patient balance reimbursements and give patients greater insight into the medical billing process. It consolidates all payments and balances into an easy-to-read dashboard. Our technology also lets providers view all accounts associated with a guarantor, receive documentation, and accept payments in real time. We connect and engage with patients throughout the entire patient financial life cycle, treating them with dignity and respect, and providing opportunity for dialogue and to learn more all along the way.
About MedData:

MedData has been a tenured and trusted healthcare revenue cycle management services provider for more than 40 years, delivering technology-enabled and patient-focused RCM solutions, including Eligibility & Disability, Accounts Receivable Services (ARS), Injury Accounts (Workers’ Comp, Auto, etc.), Veterans Administration, Patient Responsibility/Early Out, COB Denials, and Out-of-State Eligibility. MedData has patient advocates from coast to coast and experience with hospitals and health systems of all types – large to small, rural to urban, nonprofit to for-profit – giving the company a nationwide presence with a local feel that’s scalable to any volume. Click the "Files" tab for downloadable content with more information about our organization.

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Clients

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Use Cases

Description:

Jopari ProPay brings to healthcare Payers an industry flexible, full spectrum set of payment methods that work in concert with a Payer’s existing bill review, claim, and financial systems allowing Providers to choose the payment method best suiting their practice or organization’s needs. This suite of multi-tiered payments options leverages advanced disbursement technologies to: (1) reduce costs of payment processing; (2) increase accuracy; and (3) streamline cash and remittance flows for both Providers and Payers.

Pediatric use cases:

None provided

Users:

Patients, Payers, Administrators

Description:

None provided

Pediatric use cases:

None provided

Users:

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EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Other

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Healthcare Payers eliminate paper and reduce operational expenses with Jopari ProPay.

Jopari ProPay allows Payers to outsource and streamline their paper-based payment and remittance processing, while migrating over 75% of payments to electronic methods – at a fraction of existing manual processing costs.

This next-generation solution in payment processing offers Providers a multi-tiered choice of payment delivery options, including: EFT\ERA; Virtual Card payments with electronic EOB/R; or Paper Checks & EOB/R.  Jopari ProPay features a self-service Provider portal for EOB/R delivery; and supports compliant 835 delivery to support eBilling transactions.

Differentiators vs Competitors:

Jopari ProPay Trust

Jopari ProPay Trust processes over $9 billion in healthcare benefit payments annually, serving more than 50,000 ERISA health plans and fully insured groups.

The Jopari ProPay Trust is an integral part of the Jopari suite of solutions and functions as a “Payee” Trust. Obligations to payees (providers or members) from adjudicated claims of healthcare benefit plans are deposited in the Jopari ProPay Trust. The beneficiaries of the Trust are, therefore, these payees. The Jopari ProPay Trust holds these funds on behalf of these payees until they accept an electronic transaction or cash a paper check for the funds assigned to them. Trusts are strictly regulated by federal and state laws to ensure that assets held by the Trust are protected, on behalf of the beneficiary, from loss, fraudulent use and the bankruptcy of any parties. Jopari believes that this type of protection is vital to our clients and the people they serve.

The ProPay Trust Guarantees:

  • Asset Safety Funds in the Jopari ProPay Trust are stable, liquid and cannot be lost.
  • Control Only the beneficiaries of adjudicated claims approved by health plans receive payments.
  • Conveyance Efficiency Benefit payments are made to the payee quickly and easily.
  • Protection Assets are protected from bankruptcy claims.
  • Security Trust assets are protected from fraudulent use.
  • Confidentiality All information is kept private and secure.
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

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Keywords

Images

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Videos

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Downloads

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Jopari-White-Paper-2022.pdf
Patient Responsibility White Paper - MedData

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Company Details

Founded in 2004

Founded in 1980

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