Rising Medical Solutions and WorkCompEDI Establish Relationship to Provide
Workers' Compensation eBilling Solutions
CHICAGO, April 8, 2008 /PRNewswire/ -- Rising Medical Solutions, Inc.
(Rising), a national medical cost containment organization, and WorkCompEDI,
an electronic transaction clearinghouse company, recently established a
relationship to process electronic billing transactions between healthcare
Providers and Payers of Workers' Compensation claims.
(Logo: http://www.newscom.com/cgi-bin/prnh/20080206/AQW030LOGO-b)
Rising initially contracted with WorkCompEDI to implement a national
clearinghouse solution in compliance with the eBilling requirements mandated
by the Texas Department of Insurance. This mandate, effective January 2008,
requires Texas healthcare Providers to submit electronic Workers' Compensation
bills and attachments to insurance Payers in a state-approved ANSI 837 format.
In return, Payers are required to electronically submit remittance advices to
Providers in an ANSI 835 format.
Subsequent to January, Rising and WorkCompEDI have deployed connectivity
to Rising's Payer clients in additional states. As eBill protocols are
increasingly being standardized and adopted by various states, this alliance
ensures Rising clients will have access to fully compliant and fully
integrated electronic transaction services that meet the regulatory standards
adopted in these new jurisdictions.
Addressing Payers' complete workflow needs, Rising's eBilling solution
includes receipt of electronic medical bill submissions, review and repricing
of medical charges, provision of electronic explanation of reviews, processing
of corresponding Electronic Remittance Advices (ERAs), and satisfying other
mandated state reporting requirements. Additionally, Rising's capabilities
include processing Provider payments on behalf of its Payer clients should
they so choose.
Rising COO Cecil Pickens states, "For numerous reasons, the Workers'
Compensation industry has been slow to initiate electronic billing and payment
between Providers and Payers -- a practice that is commonplace in other
healthcare segments. We are excited that, in conjunction with our relationship
with WorkCompEDI, our Payer clients are able to access electronic processing
capabilities through a single integration point with Rising." He adds, "With
technological advancements where they are today, we are able to leverage our
own technology innovation and investments while limiting additional capital
outlays required by our clients and allow them to focus on core business
competencies."
Comments WorkCompEDI President/CEO Marc Menendez, "We are very pleased to
have been chosen as Rising's eBilling clearinghouse partner for the Texas
mandate and we are excited to increase the depth of our partnership to other
states. Both companies have worked hard to ensure that Rising clients
experience a quick and smooth transition to the eBill solution. By combining
WorkCompEDI's advanced EDI clearinghouse capabilities with Rising's leading
bill review programs, Rising is able to deliver an end-to-end electronic
medical bill processing, auditing, and payment solution to the Workers'
Compensation marketplace."
About Rising Medical Solutions, Inc.
Headquartered in Chicago, Illinois, Rising is a leading medical-financial
solutions organization that services the auto, workers' compensation, and
liability markets. Through its comprehensive medical cost containment and care
management programs, Rising provides compelling business outcomes to clients
nationwide, including insurance carriers, self-insured employers, government
organizations, third party administrators, and attorneys.
Media Contact
For more information, contact Rachel Racz at rachel.racz@risingms.com /
877-747-4644, x5893.
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SOURCE Rising Medical Solutions, Inc.
Rachel Racz of Rising Medical Solutions, Inc., 1-877-747-4644, ext. 5893,
rachel.racz@risingms.com
