Don't see your question? Contact us at:
Phone: 718.369.0012
E-mail: info@integrah.com
Q. What are the benefits to providers for joining IntegraPartners?
A
- IntegraPartners provides increased access to health plans and their members
- A single access point to all transactions
- Reduces operations costs and minimizes denials
Q. What services does IntegraPartners provide?
A
- Access to health plan networks and expanded patient referrals
- Manages the details of complex insurance transactions
- Reduces operational costs
- Maximizes reimbursement
Q. What is the eligibility and acceptance process?
A
- Accreditation in nationally recognized accrediting bodies
- State/etc. licensure
- Successful completion of the credentialing process
- Acceptance is dependent on the above and network need
Q. What is the cost of membership?
A
- IntegraPartners' annual membership is $1,500 for DME and $1,000 for O&P
- The administrative fee is 15% for DME and 13% for O&P of the IntegraPartners collections
Q. Must I participate with every contract accepted by the network?
A
- No. It is up to the individual provider whether or not they choose to use IntegraPartners for a specific health plan.
Q. How does the authorization and billing process work?
A
- The provider is responsible for obtaining the authorization, which they submit to IntegraPartner's online billing site along with other pertinent information. IntegraPartners does the rest.
Q. How does IntegraPartners determine reimbursement?
A
- IntegraPartners' payment and medical necessity eligibility is based on the rules and fee schedules of the individual insurance company.
Q. How quickly can I expect reimbursement
A
- IntegraPartners members can expect to receive payment for service within seven (7) business days of our receipt of payment. Individual providers will have the ability to log onto the IntegraPartners website to their individual account to track payments so that providers have full payment transparency.
