HealthPort Direct is an Internet-based claims, eligibility and statement management system that helps significantly cut time and eliminate errors. Using Internet technology, HealthPort Direct allows you to submit claims in minutes, access claim status in real time, and even submit all claims to all payers with a single click of the mouse. HealthPort Direct also helps you connect directly to your payers, making it possible to cut weeks off your payment cycle.

Because it’s based on Internet technology, you can quickly and seamlessly download and install HealthPort Direct, launch its intuitive user environment, and be processing claims immediately. Your staff can be up and running in merely minutes without the need for extensive training or support, and because it automatically updates itself over the Internet each time you sign on, you’ll always get the latest payer guidelines and requirements.

Claims Direct

With Claims Direct, your claims formatting and data transfers are fast, easy and completely automated. In fact, Claims Direct makes it possible to prepare and submit claims to multiple payers in a fraction of the time it currently takes a typical practice to create just one claim for an individual payer. Unlike traditional paper and electronic claims, Claims Direct doesn’t get bogged down by each payer’s unique formatting and complex submission procedures. Instead, you simply submit all your claims at once, even if they go to multiple payers, and HealthPort Direct takes care of the rest.

Claims Direct makes claims management more convenient by:

  • Retrieving the claims data from your practice management system
  • Fulfilling payer-specific claims procedures by formatting each claim for you
  • Eliminating paper trails while giving you real-time access to claims submission information like total claims filed with a specific payer and total amounts submitted
  • Allowing you to transmit claims data virtually anytime

Eligibility Direct

Eligibility Direct is a revolutionary tool that virtually eliminates the risk of eligibility rejections and costly claims resubmissions, since it checks your patient information against accurate, up-to-date payer information online and in real time.

Eligibility Direct also includes:

  • Check-in Processing where you can quickly verify individual patient coverage at check-in
  • Advance Processing that allows you to verify and process batches of patients the day before scheduled appointments
  • New Request (payer-required information plus practice information) and Quick Request (payer-required information only) eligibility checking options you can submit either individually or in batches
  • Simple Start-up and Editing with intuitive onscreen menus and commands that guide you through the process of entering and updating information

Compliance Direct

Compliance Direct performs a complete, real-time pre-submission compliance check on every claim, looking for coding errors, missing coding information and potential fraud issues that could cost you days or even weeks of lost time in the payment cycle.

When it finds errors, Compliance Direct brings them to your attention using intuitive Pass/Fail Reports showing areas that need clarification or correction. Then you can easily make the changes in HealthPort PM (or your third party practice management system) and avoid the hassle of correcting and resubmitting the claims later.

Compliance Direct makes sure your claims are filed correctly the first time by checking compliance in these five areas:

  • HCPCS Validity that checks claim information for the most current Level I (CPT-4) and Level II (HCPC) procedure codes
  • ICD-9 Specificity that compares the diagnosis codes on claims to the ICD-9 revision guidelines, assuring the highest specificity codes
  • Medical Necessity that compares claims information to Local Medical Review Policies (LMRP)
  • Correct Coding Initiative (CCI) that compares claim information to Correct Coding Initiative edits developed by the Center for Medicare and Medicaid Services (CMS)
  • Outpatient Coding Edits (OCE) that verify correct coding and medical necessity for hospital and medical treatment centers í outpatient services

Statements Direct

HealthPort Direct’s Statements Direct feature is a simple, direct way to manage your A/R. As a turnkey print and mail service, you’ll no longer have to worry about stuffing, sealing or stamping envelopes, and you won’t have to stock or purchase forms. With Statements Direct, you can submit your statement files directly via the Internet and receive automatic verification once the statements are processed. From there, HealthPort Direct prints your statements on invoices customized with your practice information, then mails them for you.

The best part is that it only takes a few mouse clicks to transmit your statement files, whether you want to send them daily, weekly, monthly, or however frequently you need to keep statement volume under control.

Other Statements Direct benefits include:

  • Staff won ’t be overwhelmed by billing deadlines
  • You have access to the billing data so you know exactly when patients are billed
  • You can view how many statements have been processed
  • You can avoid bottlenecks in the billing cycle that slow down payments and interrupt cash flow
  • You can save hundreds of dollars on billing-related supplies, printing and postage, not to mention freeing resources and staff for other important tasks

Claims Status Direct

With Claims Status Direct, you can request claims status information easily and quickly. Whether you need to send a single request or a batch of requests from your practice management system, Claims Status Direct makes it easy to connect directly to your payers to get reliable, up-to-date information.


Try it for yourself. Download HealthPort Direct now!