TRPN PPO Repricing - Repricing Three Rivers Provider Network

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Internet Repricing

TRPN clients can use the Internet for their repricing needs. This is designed to help clients obtain substantial and prompt turnaround for professional and facility claims. Internet repricing enables providers and clients to quickly and simply reprice claims 24 hours a day, 7 days a week, with having to fax, phone or mail. TRPN guarantees a secure online environment. Users can enjoy a quick turnaround for repricing claims. Three Rivers Provider Network uses state-of-the-art technology, and clients can immediately print out a single-page document detailing the claim.

Real Time

This repricing application reduces administrative costs while improving the efficiency of the claim settlement process. Clients have a direct connection to the Three Rivers Provider Network repricing system. The system can identify and reprice in-network provider claims and return the claim in seconds. This applies to both professional and facility claims.

Electronic Data Interface

Using EDI reduces mailroom costs and mail delays, and is a paperless application. The settlement process is simplified and turnaround is quick, usually one to two days. Woman with a laptop computer

Clients can submit and receive claims in the ASC 12 837/4010 format. Both professionals and facility claims can be repriced via EDI, and clients can submit daily batch files to TRPN electronically.