Bringing Service into Perspective

Delivering Solutions to Healthcare Organizations

HeW Services and Fees

Primary Services

HeW Primary Services are offered at a monthly fee, calculated based on the number of licensed beds and/or healthcare professionals within the client's organization.  HeW also has special pricing arrangements for other types of healthcare situations, including, but not limited to, Billing Agencies, Surgery Centers, Inpatient Treatment Centers and DME providers.  HeW Primary Services include:

  •  Unlimited transmissions of the following ANSI transactions, as available on the HeW Payer List
    • 835    Payment and Remittance Advice
    • 837    Claims (Institutional, Professional and Dental) to primary, secondary, and tertiary payers
    • 864    Text Message
    • 997    Functional Acknowledgement
  • Unlimited Clearinghouse Services
    • Transaction editing
    • Payer specific editing
    • CCI edits
    • NCCI edits
    • Statistical data submission to state Hospital Associations (facilities only)
    • Medical Necessity and Usage - Flyer
      • Verify Medical Necessity prior to rendering services, ability to print Advance Beneficiary Notice (ABN), if needed.
      • HeW performs front end edits on claims to determin Medical Necessity and Usage requirements are met.
  • Unlimited use of HeW Claim Management Software
    • Claim management capabilities
    • Send and receive ANSI transactions
    • Direct claims entry or import from your software vendor
    • Converts proprietary, NSF and print image formats into HIPAA-compliant format
    • Software updates, enhancements and maintenance
    • Access patient eligibility and benefit information
    • Receive, print and/or post Electronic Remittance Advice Information
    • Analytical and denial management reporting
  • Unlimited use of HeW Support Services
    • Training – initial and ongoing
    • Customer Support Center
    • Trouble shooting billing and payer issues
    • Custom Development – scrubbers, reports, etc
    • Paper claims
    • Translation Tables – development and maintenance
    • HeW conferences
    • HeW publications
    • HeW website access

Supplemental Services

HeW clients also have the flexibility to incorporate Supplemental Services into their Service Agreement.  Additional fees apply to the following Supplemental Services: 

  • Transmission of the following ANSI transactions, as available on the HeW Payer List
    • 270/271    Health Care Eligibility inquiry/response - Flyer
    • 276/277    Health Care Claim Status inquiry/response
  • Patient Financial Summary
    • Demographic Information - ID and Address Verification - Flyer
    • Patient Financial Summary - Soft credit check - Flyer