Processing Medicare Claims

The Centers for Medicare and Medicaid (CMS) are consolidating Fiscal Intermediary and Carrier contracts into one, new Medicare Administrator Contractor (MAC) per CMS jurisdiction. Wisconsin Physicians Health Insurance Corporation is the MAC for CMS Jurisdiction 5, covering Iowa, Kansas, Missouri and Nebraska. IVANS and Wisconsin Physicians Health have partnered to facilitate your transition.

Opportunity to Speed Up Medicare Processing
This transition provides a good opportunity to accelerate the way you process Medicare claims. IVANS offers several different options to help you:

• Process claims more quickly
• Eliminate costly, time-consuming manual searches
• Reduce risk by lowering denial rates and resolving backlogged claims

And, as an approved CMS vendor supporting more than 135,000 providers today, all IVANS connectivity and batch processing solutions meet the necessary CMS requirements. 

Medicare Access Options

Secure High-Speed Internet: IVANS LIME™

• Ideal for: Medium-volume claims submitters (1 - 50 users)
• Description: Using high-speed Internet service (cable, DSL, or Managed Internet Services), IVANS LIME™ connects you directly to any CMS application you need to access for one, flat monthly fee

IVANS Batch Processing
Our FTP solution enables you to easily submit multiple claims to CMS electronically. Using IVANS connectivity solutions in combination with BlueZone® FTP from Rocket Software®, you can:

• Directly submit claims to CMS through local access points, reducing long-distance charges
• Eliminate busy signals from overworked modem pools by connecting through IVANS extensive network
• Easily address increased security measure for protecting personal information as Medicare mandates new requirements

MDNS Frame Relay Leased-Line

• Ideal for: High-volume claims submitters (more than 50 users). With a fixed monthly cost, this option is recommended for large facilities with many users and locations.
• Description: IVANS Frame Relay service provides secure connectivity via permanent virtual circuits (PVCs) that support data transfer speeds from 56Kbps to DS3 with greater than 99% network availability.

Secure Dial-up

• Ideal for: Low-volume claims submitters (particularly single users) and/or providers that prefer to be charged only when they send transactions.
• Description: This solution provides connectivity via dial-up based on an hourly usage fee for the network.

» Medicare Connectivity Solution Summary