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Key takeaways about the financial aspects of healthcare
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PNC Healthcare
Powered by Efficiency
Our Work
Why PNC Healthcare?
Millions of patients. Hundreds of insurance plans. Rising healthcare costs. Inefficient claims remittance processes.
At PNC, we have taken a unique approach to helping healthcare providers and payers minimize administrative costs and maximize cash flow.
By combining leading clearinghouse capabilities with premier treasury management services, and over 25 years experience working with healthcare payers and providers, PNC provides a full array of integrated solutions to improve the healthcare revenue cycle. We call it the PNC Healthcare Advantage.
People, Process & Technology
PNC's healthcare experts understand patient billing, finance and technology - after all, we have worked with more than 1,900 healthcare organizations across the country, including payers (2,000 plus connections), providers, pharmacies, Medicare fiscal intermediaries and government agencies. We also provide implementation specialists and an online portal to help automate the revenue cycle and facilitate payer/provider relationships.
Are you a Private Practice?
PNC also offers extensive cash flow options and targeted banking tools and resources to help effectively manage your revenue cycle. To learn more about private practice solutions, visit pnc.com/hcprofessionals.
Want to learn more about PNC Healthcare?
Get to Know PNC Healthcare
Videos
Revenue Cycle Automation
You, as a Provider, are facing increasing financial challenges, and protecting revenue is critical. Revenue Cycle Automation solutions help to automate the work flow and the management of your revenue cycle workload. Using Revenue Cycle Automation, you can improve both front-end patient access management activities and back-end denial management processes by applying real-time business rules to the data.
Access Guardian
Access Guardian can help you reduce denied claims and the associated rework.
Patient Estimator
Patient Estimator allows your staff to give patients written estimates of their expected out-of-pocket responsibility.
Denial Challenger
Denial Challenger provides a rules-based workflow platform that helps you automate follow-up on active receivables and claim denials.
For Ideas, Insight and Solutions from PNC Healthcare, please visit the Video Library.
Solutions for Healthcare Providers
Overview
PNC Healthcare offers a fully-integrated suite of revenue cycle tools, solutions and advisory services for healthcare providers.
We offer transaction processing, denial/payment variance reporting, and business intelligence analytics which deliver benefits across the revenue cycle and support provider’s administration simplification and cost reduction goals.
As a healthcare provider, you need to make the administrative process as easy as possible for patients and more efficient overall. PNC Healthcare is reinventing the way providers manage and collect revenue across the entire revenue cycle to help improve administrative and financial performance.
Collaborating with our clients, we provide customized solutions to:
- Accelerate collections and cash application
- Reduce days in receivables
- Rapidly identify denied or underpaid claims
- Support the need for information at all stages of the revenue cycle
PNC Healthcare Solutions for Providers
You can choose from a spectrum of PNC products to create a solution tailored to meet the needs of your organization, including:
- Claims submission services with scrubbing capability
Claims Submission Services (837) Product Sheet - Electronic remittance receipt, image lockbox and conversion of paper EOBs to electronic remittances
Remittance Advantage Provider Portal Product Sheet
Electronic Remittance Services - Direct 835s Product Sheet
IOCR Advantage Product Sheet - Reassociation services to automatically match 835 remittance information with its ACH and/or check payment information
Reassociation Service Product Sheet
- Specialized patient payment services for patients to pay for services and automatically update your billing system through a patient lockbox
Patient Pay Lockbox Product Sheet - Denial Prevention, Patient Estimation & Denial Management
Access Guardian Product Sheet
Patient Estimator Product Sheet
Denial Challenger Product Sheet
PNC Payer List
As an EHNAC accredited electronic healthcare financial institution, PNC offers connections to thousands of payers to provide a comprehensive suite of healthcare services.
The services offered include Claim Submission (837), Claim Status (276/277), Electronic Remittance Advice (835), and Electronic Funds Transfer (EFT). PNC continually adds new payer connections to our existing network as healthcare providers move towards 100% electronic transactions. Below is a link to our payer connections for Claim Submission (837), Electronic Remittance Advice (835) and EFT.
If you would like a list of payers for Eligibility (270/271) and Claim Status (276/277), or cannot locate a particular payer in the Healthcare Transactions Payer List accessible below, please contact PNC Healthcare Product Management at healthcarepm@pnc.com.
ICD-10
PNC can help you to mitigate the challenges that are posed by ICD-10 by offering you:
- Healthcare focus and expertise
- Flexible financing options
- Relationship-based banking team with local regional president support
- Longstanding track record of healthcare technology innovation
- Revenue Cycle Management Advisory Services combined with top-rated treasury management platform
Solutions for Health Insurance Payers
Health insurance companies face a unique set of challenges when it comes to meeting the needs of your members, employer groups, or your provider network. PNC Healthcare takes the time to understand your unique business requirements and information systems, and then offers technology solutions to help you become more efficient.
Important Legal Disclosures & Information
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U.S. Healthcare Efficiency Index (2013, revised May 2014), p. 18.
PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”).
Banking and lending products and services, bank deposit products, and treasury management services, including, but not limited to, services for healthcare providers and payers, are provided by PNC Bank, National Association, a wholly-owned subsidiary of PNC and Member FDIC.
CAQH CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH® Copyright 2016, Council For Affordable Quality Healthcare®. All rights reserved.
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