soon in 2004 – Medicare Part A & B.
Net Data Link, Inc., Linking Payers and Providers
HIPAA Compliant Electronic Data Interchange(
EDI transaction Type HIPAA
- Electronic Eligibility and Benefit Verification.
- Claims Status (276/277)
- Claims History (276/277)
- Claims Filing (Instutitional and Professional)
- Referrals and Authorizations – (inbound
and outbound) (278)
- Remittance Advice and Explanation of Benefit
- Electronic Funds Transfer (835)
- Claims Edit transaction.
Services are available through HealthNet Data Link,
Inc. (HDL), an eHDL company. "A leader
in local and regional payer connectivity."
HDL offers integrated, HIPAA-Compliant
Electronic Data Interchange (EDI) services over a
secure encrypted data network. Using HDL’s Electronic
Transaction Services (ETS), access to multiple Payers
are available thorough a single login HDL-WEB Browser
HIPAA-Compliant Hosting and interfaces
for back-end connectivity are available for Payers
such as HMO’s, PPO’s, PHO’s, IPA’s,
MSO’s, Insurance Companies, and Employer Benefits
Experience The Difference!
From eligibility to remittance, HDL
gives health care organizations a single login solutions
to all electronic transactions.
- Provider Networks
- Billing and Collections Companies
- Long-Term Care Facilities
- Out-Patient Centers
- Government Health Programs
Eligibility and Benefit Verification
Single login access is provided to multiple Payers,
using HDL’s WEB Browser. Alternative access
is available, using Software Batch PC/Windows, Green
Screen Terminal Emulation, Batch Download, and Magnetic
While HDL offers access to national
Payers, its business is focused on connecting local
and regional Payers in key health care markets such
as – Florida, Louisiana, Texas, Oklahoma, and
New Jersey. Access is available for Government and
Commercial Payers, including Payers such as Medicaid,
Aetna, AvMed, BCBS, Cigna, Humana, JMH Health Plan,
Referral and Authorization
Reduce time consuming phone calls, required to make
referrals and receive authorizations.
HDL Electronic Referral and Authorization
Services available from selected Payers.
Claims Submission Services
- HDL is an All Payers Clearinghouse – Your
One-Stop Claims Submission Shop.
- HDL’s Electronic Transaction Services
accepts and transmits claims from
- Practice Management Systems
- Hospital Information Systems
- HDL’s Browser-Base Direct Data Entry
- HDL Handles all formats for Professional and
Institutional Claims … NSF, HIPAA-837, UB’s,
Claims Status Services
- HDL downloads Status on Multiple Claims, electronically
- HDL’s On-Line Claims Status Inquiry provides
instant Status on claims, prior to and following
adjudication for payments.
Claims Clean-Up Services
- Avoid payment delays associated with initial
- HDL Electronic Transaction Claims Clean-Up Services
provides Primary and Clinical Edits before claims
are submitted to Payers.
HDL’s Remittance Advice Services provide payment
information on behalf of Payers against Explanation
of Benefits (EOB) for contracted customers.
Electronic Transaction Services
Payers, eliminate headaches associated with building
and deploying HIPAA-compliant transactions interfaces.
HDL provides turnkey hosting interfaces
that Payers can use to connect to Providers.
HDL is focused on increasing local
and regional Payer connectivity.
HDL provides a single login, encrypted WEB Browser
access to all applications with seamless back-end
integration. HDL’s Web Browser Interfaces are
user-friendly and easy to navigate. Special features
include rapid response, multi-user and multitasking
capabilities, and easy setup. No installation of software
is required. Access is available through HDL’s
web site www.ehdl.com. Installation, setup, training,
and support can be done On-Line, or On-Site.
Software Batch PC/Windows Interface
HDL’s Software Batch Application accepts medium
to large batches in Windows Microsoft Word, Excel,
Text, or ASCII formats, allowing contracted customers
to merge, edit, update, save, and/or delete batches.
Batch Download Services
Contracted customers can submit a Batch Download to
HDL in any format (Excel, Access, Oracle, ASCII, Flat
File, Report Format, Word, Text, etc.). HDL Data Conversion
and Clean Up Services are available before queries
are submitted at the customers’ request. HDL
EDI Batch Processing is available for Eligibility,
Referral, Authorization, Claims Submission, Claims
Status, and Remittance. Customized user-defined fields
are allowed for generating special reports.
HDL’s Batch Services have been
utilized by facilities to enhance collections on Self-Pay
and Indigent Patients, who might otherwise convert
from indigent to Medicaid within 12 months of services
Green Screen Terminal Emulation
Hospitals and Insurance can use their existing Legacy
Systems to access HDL’ s Information Network.
HDL can link to Legacy Mainframes
and AS-400 Systems common in hospitals and insurance
companies, utilizing LU2 and LU62 Terminal emulation
Magnetic Swipe Card
HDL offers a Point-of-Sale (Swipe Card) Device that
allows contracted customers to perform Medicaid eligibility
verification transactions in areas where computers
are not available.