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PHCS Savility Portal Quick Tour. About PHCS Savility Key FeaturesKey Benefits A single reimbursement processAccelerated, consolidated payment for all.

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Presentation on theme: "PHCS Savility Portal Quick Tour. About PHCS Savility Key FeaturesKey Benefits A single reimbursement processAccelerated, consolidated payment for all."— Presentation transcript:

1 PHCS Savility Portal Quick Tour

2 About PHCS Savility Key FeaturesKey Benefits A single reimbursement processAccelerated, consolidated payment for all PHCS Savility claims regardless of payer A single point of entry for all claimsSimplified claim submission – no need to recall multiple addresses or payer IDs A single brand identitySimplified member recognition – no need to learn multiple ID card formats A single provider service organizationStreamlined service – no need to contact multiple payers to resolve claim issues A single online portal for provider self- service 24/7/365 access to eligibility, payment, claim and other information across all PHCS Savility claims Combining the revenue diversity of a multi-payer network with the administrative simplicity of a single large payer

3 About the Portal Delivering 24/7/365 access across all PHCS Savility payers to: Eligibility Verification Claim Status Remittance Status Claim Submission

4 Portal Overview Welcome to the PHCS Savility Portal, a self-service website for participating providers brought to you by MultiPlan and our partner, InstaMed. Through this secure website, you can: Confirm member eligibility Submit PHCS Savility claims Check on the status of submitted claims Determine the status of payments made or in progress Simply select HIPAA Transactions from the Main Menu at left for these common operations, and then use the tabs in the aqua bar across the top of the main screen area. A detailed guide for using the PHCS Savility Provider Portal is available by clicking on the User Guide link in the upper right corner of this page. You can also download a quick reference. If you need assistance with this self-service portal, or if you need help with any PHCS Savility-related issues, contact MultiPlans PHCS Savility Provider Service team at from 8:00 am to 7:00 pm Eastern Time, or send an to If you have questions about other functionality and services available from InstaMed, contact InstaMed directly at INSTAMED. Lets you store information about your patients that can then be used throughout the portal Gets you to the most commonly used functions with a single click Lets you perform common functions such as verify eligibility, enter claims and obtain claim and payment status Lets you modify certain aspects of your user experience, including log-ins and screen displays

5 Verify Eligibility Choose from a variety of ways to enter search criteria Eligibility is typically verified by entering name and subscriber ID

6 Verify Eligibility Eligibility information is typically returned in human readable form, as shown here Text in light blue is a hyperlink to more detailed information Optionally, information can be downloaded in EDI form into your practice management system Requests to verify eligibility can be one-at-a-time, as just seen, or submitted as a batch of requests

7 Check Claim Status Search for a single claim or claims meeting certain criteria Search on any combination of Provider ID, Total Charges, Service Dates, etc. Save commonly used searches for frequent use

8 Check Claim Status Search results can be downloaded for further analysis Columns included in search results are user configurable; click on title to sort results Click here to view deeper information Status indicates where the claim is in the process: Accepted – HIPAA: claim has passed HIPAA validations Rejected – HIPAA: claim failed validations and must be resubmitted Accepted – Payer: claim has been received by MultiPlan for processing

9 Check Remit Status Search for remittances meeting certain conditions, or search for a batch of remittances received (e.g., on a particular day)

10 Check Remit Status Click here to view deeper information Remittances will soon include payments from multiple PHCS Savility payers

11 Submit Claims PHCS Savility claims are submitted through clearinghouse, mail, EDI, or can be entered through the portal Portal claim entry follows a 5-step process, starting with patient information Patient information can be auto- populated from information stored using the Patients module

12 Submit Claims The last step in online claim submission is entry of charges To facilitate entry, common service templates can be set up ahead of time

13 Configuration Options Sign up for electronic reimbursement Configure search results screens to suit user preferences Establish and maintain user logins and rights to suit your organization, including at the individual, facility and/or department levels


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