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HOMELAND HEALTHCARE AND HAMMERMAN & GAINER ANNOUNCE PARTNERSHIP FOR REAL-TIME ELIGIBILITY AND CLAIM ADJUDICATION
Limited Benefit Plan Solution Powered by TransEngen Technology to Help Healthcare Providers Identify Carrier and Consumer Liability at Point-of-Sale
RICHARDSON, Texas, LUTCHER, La. and NORWALK, Conn. — May 6, 2009 — Homeland HealthCare, the healthcare industry’s leading provider of affordable limited benefit health insurance coverage, and Hammerman & Gainer, a third party administrator that is innovating with solutions that enable customers to reduce costs and streamline operations, today announced a partnership that will provide healthcare providers point-of-sale visibility into insurance reimbursement and patient self-pay responsibilities.
The new program, sold under the name Homeland SureCare™, provides a web-based portal to healthcare
providers that allows for real-time eligibility and claims adjudication. Powered by technology from TransEngen, Inc., an innovator in transaction processing technology for healthcare, the easy-to-use, web-based system enables providers to verify patient eligibility and payment terms at the point of service while the patient receives care without paperwork hassles or delays. Claims are re-priced to contracted network rates in real-time, and providers can sign up for electronic funds transfer, which means the provider can receive payment within 24 to 48 hours. “The system is convenient and secure, and plan members see the immediate benefit of the discount and coverage from the Homeland SureCare benefit program,” said Stephen Jones, CEO of Homeland HealthCare.
Seeking an innovative solution, Hammerman & Gainer teamed up with TransEngen to deliver this complete endto-end payments solution to the Limited Benefit Plan market. “Concerns over patient responsibility and associated provider bad debt were calling for a new approach,” said Jimmy Hersman, Vice President of Healthcare Sales for Hammerman & Gainer. “There was so much confusion over plan benefits and how much the patient owed at the point of care, creating an inefficient and costly payment system and dissatisfaction with these plans. Our new claims adjudication platform eliminates this confusion, increasing satisfaction and creating a more streamlined, cost-effective approach to reimbursing providers.”
“We recognized that a new product strategy was needed,” adds Robert Byrnes, President of Homeland
HealthCare. “The Homeland SureCare program will dramatically improve the experience with our product for both providers and our members. Through the portal, providers now have immediate access to reimbursement levels for the services they provide to SureCare plan members, creating price transparency for our members and facilitating faster payment back to providers – a win-win for everyone.”
“As the administrative complexity of plan designs continues to overwhelm the payments system, payers,
providers and consumers are seeking greater overall efficiency,” said Greg Morris, President and CEO of
TransEngen. “We’re pleased that recognized industry leaders Homeland Healthcare and Hammerman & Gainer turned to TransEngen to provide the technology that creates a more efficient, less costly method of
reimbursement.”
About Homeland Healthcare
Homeland HealthCare offers an array of limited benefit plans providing coverage for employer groups, independent contractors as well as associations. Homeland HealthCare brings tremendous value to its clients by providing excellent customer service, agent support and value in our products. Even in these difficult times, Homeland HealthCare is experiencing significant growth due to its plan acceptance in the limited benefit market. Homeland HealthCare’s newest limited medical plans are underwritten by the Markel Insurance Company. For further information about Homeland HealthCare please contact Steve Morgan at 800-493-4240 ext. 128 or visit www.homelandhealthcare.com.
About Hammerman & Gainer, Inc.
H & G provides a wide range of Third Party Administrative management services including premium collection, enrollment, and claims adjudication. Recognizing the need for improved operational efficiency through the use of the latest technology H & G has developed a web based turnkey enrollment and eligibility verification solution. The same platform also provides the real-time claims adjudication and payment system eliminating the need for dual entry of the enrollment and financial account information. The H & G turnkey solution supports the conversion of all paper claims into electronic submissions improving reporting, accuracy and speed of payment. Payments to providers are made when available through Electronic Funds Transfer (EFT) to eliminate the costs associated with handling paper checks.
H & G supports the collection and management of premium payments from individual accounts via ACH or a personal credit card as well as from employers. H & G’s modular approach allows our business partners to customize the platform to meet their needs. For further information contact Jimmyh@hng.com at 800-929-9525 or visit www.hng.com.
About TransEngen, Inc.
Founded in 2006, TransEngen has developed a technologically advanced and integrated platform capable of processing both healthcare and financial transactions. This platform – called “the TransEngen” – provides the end-to-end connectivity between payers, providers and consumers that drive efficiencies to reduce costs, streamline payments, and reduce provider collection efforts for patient self-pay responsibilities. With solutions directed at both payers and providers, TransEngen is leading the transformation of the healthcare payments process; creating valuable new functionality at nearly every transaction stage of the process and delivering real-time information at the point of care. For further information contact info@transengen.com or visit www.transengen.com.