QuickPayNET®

What is QuickPayNET®?

It is a Web based cloud platform and portal for both Work Comp and Group Health claims. For Group Health it administrates and integrates all vendors necessary for a self-insured CDHP/HSA group health plan and eliminates the problems when implementing a CDHP/HSA health plan. This application utilizes and administers HSA, HRA and employer trust accounts on behalf of employers for their employees and dependants. It links PPOs, PBMs, TPAs, UR/MCM, Banking and all other critical vendors to provide a seemless delivery of a CDHP/HSA using only a single system platform. This platform eliminates the debit card, member bills and member hassle. It completely integrates banking and the claims payment system. QuickPayNet is a complete Point-of-Service adjudication and payment platform, sometimes described as the "Holy Grail" for consumer driven health plans. Learn more at Simplicity Health Plans

QuickPayNET® eliminates the work of processing a medical claim both at the doctors' offices and for the TPA/Employer. Claims are processed immediately over the Web. All accounting for HSA and HRA funds are immediate. A Member, Employer and Provider web portal lets the each party see their claims and payments. Employers can get instantaneous reporting. Employers can also sign up for the StayFit Plan™ The Next Generation of Wellness that is also accessed through the same portal.

How does QuickPayNET® work?

• Claims transactions are simple, requiring little change in provider business practice.
• The Member presents their medical benefit card with QuickPayNET® logo to their provider (who may or may not be a member of a proprietary network).
• Provider has 2 ways to submit a claim:
  1. 1.) access QuickPayNET® website
  2. 2.) traditional paper or electronic claim submitted to TPA
• Claims are already preformatted within the QuickPayNET® system; provider enters appropriate billing codes and the claim is clinicically edited and immediately repriced.
• QuickPayNET® then makes an offer back to the provider based on the agreed discounts. Provider accepts the offer and payment is made with 5-7 business days direct to the provider's bank account.

Why does it work?

Because providers see QuickPayNET® as cash with the quick turnaround time, which eliminates the need to bill the patient - even within their deductible.

There are three key components to the QuickPayNET® system:

1. Our promise to pay the plan allowed amount within 5-7 business days.
2. Employer Cash Advance to cover member deductibles, honoring the network's promise of 100% payment within 5-7 business days.
3. The QuickPayNET® Medical Management System is a comprehensive, online claims adjudication system that will process and pay all claims - both those within and above the deductible level - in real time. QuickPayNET® eliminates 95% of the paperwork involved in claims transactions - even the provider EOB is online

Proven Software Platform

The underlying software for QuickPayNET® is currently processing over $5 billion in medical claims annually. QuickPayNET® is web-based and there is no requirement for an expensive capital outlay, major systems upgrade, or on-going maintenance. All that is needed is a PC and an Internet connection.

What's in it for your TPA or Employer Client?

• The best and most efficient implementation of a CDHP/HSA
• Elimination of virtually all small claims paperwork
• Lower costs to process claims
• Higher TPA margins
• Use with your own self funded products or use one of our self funded plans
• Lowers cost of administration
• Less HR and employee hassle turns health into wealth

For More Information

For more information, contact us or for Group Health visit Simplicity Health Plans®.