Payments & Posting HNS Remittance

 

PostingRemit3  tracelogoRB Payments from HNS

For all contracts, payment (remittance) is sent from the payor to HNS.  HNS disperses the appropriate payment to your office via electronic fund transfers (EFT).  Your HNS Remittance Summary and EOBs can be downloaded or printed from HNSConnect®.

 

HNS issues bulk provider payments on the 10th, 20th (or next business day), and again on the last business day of each month.  With few exceptions, all monies received by HNS during the check cut periods are sent via electronic fund transfers (EFT) on the next scheduled bulk provider payment date.

 

HNS providers must post all HNS remittances within 15 days of receipt. (HNS requests that you ensure all HNS remittances are posted prior to requesting claims status.)

 

If there are ANY inconsistencies in the amount actually paid by HNS, and the amount shown on your EOB/NOP as the amount actually due you from the payor, OR if the amount shown on your provider statement does not match the amount of your HNS check, you must notify HNS within 10 days.

 

Auto-Posting

One of HNS' electronic solutions is to ensure all physicians have access to the HIPAA compliant 835 remittance file, which, when downloaded to your billing software, will auto-post payments directly to your patient accounts. (This means no more time-consuming manual posting to each patient's account!)

 

If you are not sure if your software can import this file, contact your software vendor and ask if your software can import a HIPAA compliant 835 remittance file. 

 

Review Aging Reports Each Month

Generate and review an aging report at least every 30 days and promptly follow up on all claims over 60 days old. This will help to ensure claims are not denied for timely filing limits.

 

Posting your HNS Remittance

If you are new to the HNS network and have questions regarding how to post your HNS EOBs, call your HNS Service Representative and we will gladly assist you.         

  • The HNS Admin Fee should NEVER be posted to your patient account.

     

  • Only use the information included on the EOB to post to your patient's account. The "Amount Paid" shown on the EOB is the amount to be posted to your patient accounts.

     

  • The difference between the "Billed Charges" and the "Contracted Charges" on the EOB should be adjusted from each patient's account as a contractual adjustment/write-off,and the amount that must be written off as a contractual adjustment should never appear in your system as an amount owed by the member.  And as a reminder, you cannot "balance bill" the patient for this amount.  The correct amount to write off as your contractual adjustment can normally be found in the "Disallowed Amount" column on the EOB.

     

  • Don't forget to post ZERO dollar payments ($0.00 dollar amounts paid) when no payment was made by the insurance company and transfer this amount to "patient responsibility" when appropriate.

     

  • Once you have finished posting each EOB, check to make sure the total amount you have just posted to each of your patient's accounts in your practice management software system is equal to the total amount of the EOB.

     

  • Next, compare the amount you posted to your patients' accounts in your practice management software to the TOTAL column of the "Paid by Ins Co" section on the Remittance Summary that accompanies each EOB.  If you correctly posted to your patients' accounts, these two numbers will be the same.

     

  • Always post ALL of your HNS checks to your patients' accounts prior to submitting requests to trace claims.

     

  • Contact HNS immediately if you receive a payment for a member that is not your patient.  Notify your HNS Service Representative via email, and HNS will adjust at the next scheduled HNS bulk provider payment date.

     

  • Payments shown on EOBs should be posted within 15 days of receipt of the EOB.

 

If there are any inconsistencies in the amount actually paid by HNS, and the amount shown on your EOB/NOP as the amount actually due you from the payor, OR if the amount shown on your provider statement does not match the amount of your HNS check, promptly contact your HNS Service Rep.