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 ?

Data Element   Column Letter
Payer ID Code*   A
Provider ID*   B
Subscriber 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
FSR Indicator   K


* 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 (coming soon)

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?

    1. The order of all columns must match the template
    2. No commas are allowed in the file - to make sure that your file is free of all commas please use the find and replace function in your spreadsheet program
    3. All rows must have data for the columns that are mandatory
    4. Please remove the header row


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

Bulk Upload Template.csv

Call for Payer ID Codes

Download Sample Bulk Report

Sample Response Report.csv




    Benefits

- Save keystrokes

- Export directly from your    Practice Management    System

- HIPAA compliant

- Check high volumes of    patient records

- Quick turn around times

- Easy to set up and process

- Download response for   import into Excel

- Response includes

   - Active or Inactive Status
   - Plan Begin / End Date
   - Member Group ID
   - Plan Type
   - Member Demographics
   - Co-Pay / Deductible Data