PayerLink - Medicare Eligibility, All Payer Eligibility, Medicare Claim Submission (HETS), and Direct Data Entry (DDE) Payer Connection Portal CMS Network Service Vendor

Overview

PayerLink includes DDE/PPTN connectivity to the Common Working File (CWF), the ability to send claim files, retrieve associated response files for sent claims, and determine beneficiary eligibility for Medicare, Medicaid, and commercial payers.

Each one of these modules can be purchased individually or in a bundled service.

Eligibility Verification

HETS Eligibility Verification

Check beneficiary eligibility for Medicare, Medicaid, and commercial payers.

  • Unlimited inquiries for a low flat fee
  • Responses in under 5 seconds
  • User customized report layout
  • Easy to read reports for each inquiry
  • Intuitive interface to request and compare benefit information
  • Past, present and future information included in the eligibility response

Claims Transfer

Claims Transfer

Claim Transfer allows providers to connect to the CMS system to send claims and download remits without using a modem.

  • Access from any internet capable device
  • Send to multiple Medicare contractors using a simple interface
  • Rapid transfer and retrieval to improve cash flow
  • Easy to read 999 and 277CA reports to confirm file transfer and claim status
  • Nothing to download or install - all files are available 24/7 on our servers
  • Claim file reconciliation - match claims sent with responses received

Direct Data Entry (DDE)

Direct Data Entry (DDE)

DDE or Direct Data Entry is the term associated with the access of CMS claim data by healthcare providers.

  • Access anywhere - no modem or phone line required
  • No terminal emulation software to buy, install or manage
  • Check on claim status and correct, adjust and cancel claims
  • Determine DRG and access Revenue, HCPCS, and ICD-9 code tables
  • FIPS 140-2 Compliant
  • Screen capture to PDF

See what our customers are saying!

"PayerLink provides direct access to the CMS HETS system. Through this service, we can get instant and unlimited Medicare eligibility reports from any computer, any time."

- Caldwell Hospice and Palliative Care