Eligibility Verification
Member Enrollment
Benefit Verification
Authorization Requests
Authorization Status
Electronic Claims Submission
Claims Status
Clinical Assessments
Secure File Transfer

eCura ProviderConnect

Enables You to Use the Internet to Conduct Business With Your Providers

E-Business enables you to conduct business-to-business transactions using the Internet. While e-business is common to many industries (e.g. business-to-business ordering and funds transfers, or exchanges of stock between investment banks and trading houses), healthcare has been slow to transition business processes (like authorization requests from providers and claims submissions) to the Internet. In fact, only 30 percent of the health plans in the country allow providers to submit authorizations over the Internet.

What is eCura ProviderConnect?

eCura ProviderConnect is an e-business extension that allows you to use the Internet to conduct business with your providers. It is the ultimate in collaboration, enabling you to securely exchange key information in real-time with clinicians and provider organizations, maintaining effective lines of communication with the providers who are serving your members. With eCura ProviderConnect, you can distinguish yourself as one of the few payors that uses the internet to conduct business transactions with your providers. By providing an alternative path for exchanging enrollment, authorization, clinical, and claims data, eCura ProviderConnect allows a free flow of information between you and your providers without the bottleneck of telephone or paper-based communication. eCura ProviderConnect is designed to improve your business relationships, establish stronger lines of communication and reduce overall costs. It:

Links Providers & Payors
Speeds Communications
Reduces Labor & Paper Costs
Web-based Solution
Internet Technology
Secure

How is eCura ProviderConnect used?

eCura ProviderConnect allows your providers to conduct the following e-business transactions with you over the Internet:

Eligibility Verification: Query your membership database to determine whether a patient is eligible for services
Member Enrollment: Request registration of a member if they are not already enrolled within your system
Benefit Verification: Review members' benefit plans to establish available funding resources for members
Authorization Request: Request authorizations to provide services to your members
Authorization Status: Check on the status of authorization requests that have been submitted electronically
Electronic Claims Submission: Submit claims (individually or in batches) requesting reimbursement for services rendered
Claims Status: Check on the status of claims that were submitted
Clinical Assessments: Submit and review clinical data
Secure File Transfer: Using the highest level of security, upload and download files such as the HIPAA 837, HIPAA 835, etc

What will eCura ProviderConnect do for You?

Improve Communications: Exchange information and answer routine questions through the Internet.
Coordinate Quality Service: Ensure accuracy and currency of clinical and member data by providing online access and bi-directional exchange of information.
Reduce Administrative Burdens: Minimize the amount of time your employees' spend in voice-to-voice communication.
Make Organizational Resources More Productive: Leveraging the Internet enables immediate monitoring of service utilization, active case management, and insuring superior service and quality.