Frequently Asked Questions (FAQs)

What is Bulk Transaction Submission?

Bulk Transaction Submission is a way for providers to submit a large group of transactions in an electronic batch format. Billing companies who require bulk transaction service must call customer service at 858-523-2120.

How Does The Bulk Transaction Service Work ?

The Bulk Transaction service allows providers to save valuable time by quickly requesting any size batch necessary, without the use of the standard input form. The files are typically run on the evening of the submission. Please contact HealthFusion at 858-523-2120 for information on which plans are eligible for the bulk upload service.

What are The Technical Requirements?

Preparing a batch file to process is as simple as creating a standard .csv file from an any spreadsheet containing of the required data elements. Note: the .csv file must comply with the HealthFusion format. To review the format download the template.

What Data Elements Do I Need ?

All data elements marked with an asterisk * are required and each payer may require additional data.

Data Element Column Letter
Payer ID Code* A
Provider NPI/ID* B
Member ID* C
Member DOB* D
Service Type Code E
Member First Name F
Member Last Name G
Date of Service H
CSI Indicator I
CSI Invoice No. J
End Date of Service K
FSR Indicator L
Provider First Name M
Provider Last Name / Organization Name* N
PIN O
Gender P
* Required Field

Should I Place a Header Row?

No, all rows are viewed as data, please use the template as a guide. To review the format; View a Screen-Shot of a properly completed .csv eligibility request form. The template shows the header row but this should not be included in your upload.

What Transaction Types are Supported?

Eligibility, Claim Status Inquiry & Financial Status Report

How Do I Send and Receive Data?

After the data file is created, it can be securely submitted electronically for processing via our web site by selecting the Bulk Transactions link. Once HealthFusion receives the data file, it is processed against the payer databases. The payer response is placed in the Bulk Response Screen in the same easy to read format as other real-time responses and a report is availible for download. A search engine included on the bulk response screen makes it easy to sort and locate a specific response.

What Kind of Special Formatting is Required?

How do I Indicate a Request for CSI or FSR

Place a Y (upper case only) - in the appropriate column. If the column is blank or has an N, then a CSI or FSR will not be performed. Note: A CSI must be performed if an FSR is requested.

Download Bulk Template

Key Benefits:

Response Includes:

MediTouch EHR®

MediTouch EHR® from HealthFusion® is the first all-in-one, Web-based, touch screen Electronic Health Record that is affordable, secure, and backed up by "Outstanding Customer Service".

Practice Management

HealthFusion's Practice Management System with a fully integrated EHR and clearinghouse simplifies patient registration, scheduling, billing, and reporting for Revenue Cycle Management.

Clearinghouse

Manage electronic claims with 1000's of payers, real-time eligibility verification and claim status, and transmit Electronic EOB® / ERAs. HIPAA-compliant with EHNAC accreditation.

Meaningful Use      

Get HITECH Stimulus Ready™. Earn $44-64K in cash Medicare and Medicaid bonuses with EHR/EMR "meaningful use" by using MediTouch®. Track progress with a Meaningful Use Report Card™.