PNC Healthcare

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

You can choose from a spectrum of PNC products to create a  solution tailored to meet the needs of your organization, including:

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.

View Healthcare Transaction Payer List »

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

ICD-10 Product Sheet

Healthcare payers seek solutions that will efficiently convert expensive paper-based payment and remittance information to electronic delivery.

By taking advantage of PNC’s healthcare payment network, payers can streamline the provider enrollment process, reducing the reliance on paper-based delivery.  PNC offers automated solutions for disbursing both paper and electronic payments, allowing payers to convert to less costly electronic payments, while integrating with provider reconciliation systems.

• Web services that benefit payers and providers
• Claim disbursement and reconciliation services
• Dedicated implementation resources to streamline the onboarding process
  

Healthcare payers need a way to efficiently disburse paper and electronic payments and remittance information. They also need to work with many different providers across the country. PNC can help payers connect directly to over 600+ providers, reducing connectivity and customer service-related costs.

PNC offers payers a uniquely packaged disbursement solution that delivers remittance information (835/ERA or paper EOB) and payments (ACH, Wire or Paper Check) to their provider network via a single 835/ERA transmission and provider portal.

Remittance Advantage Product Sheet

We'll improve the effectiveness of disbursement and Explanation of Benefit (EOB) delivery and incorporate advanced risk management controls, proactive data interpretation and decision support tools.

Products

• Remittance Advantage (835)
• Electronic Data Interchange
• Image Lockbox

Services

• Clearinghouse services
• Claim payment disbursement
• Image lockbox
• Forms management

Remittance Advantage Product Sheet