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Southwestern Provider Services, Inc (SPSI) July 11 th , 2018 - PowerPoint PPT Presentation

Jan 06, 2024 •204 likes •289 views

Southwestern Provider Services, Inc (SPSI) July 11 th , 2018 Introductions and Invitations An EDI Management Services Organizations Primary Objective Helping to Secure Compensation for the Services Rendered Major EDI Components

  1. Southwestern Provider Services, Inc (SPSI) July 11 th , 2018

  2. Introductions and Invitations

  3. An EDI Management Services Organizations Primary Objective Helping to Secure Compensation for the Services Rendered

  4. Major EDI Components  Eligibility  Claims  Remittances Technology Platform  HIPAA Compliant  Scalable (single provider practice to large university setting)  No hardware investment - simply an internet connection

  5. What distinguishes SPSI from others  Provider Focus  Operational Integration  Local Payor Knowledge / Investment  National Payor Reach  Strong Local Presence

  6. Mercy Care Plans  Business Partner with Mercy Care since Inception  Today… Support over 160 Arizona provider organizations  Providing Medical / Behavioral Health / Radiology / Home Health / Residential Care  Communication over 1.5 million claims / month (Full RC generates 5 million transactions)  Strong Relations with MCP Team which Help Resolve EDI Issues   Pricing  Claims Processing Costs are underwriting by MCP  Eligibility and Remittance Process  Volume Based Cost / Transaction (cost based on what you use)

  7.  Our Invitation

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