Delivering Solutions to Healthcare Organizations

ET&T Services and Fees

Primary Services

ET&T Primary Services are offered at a monthly fee, calculated based on the number of licensed beds and/or healthcare professionals within the client's organization.  ET&T also has special pricing arrangements for other types of healthcare situations, including, but not limited to, Billing Agencies, Surgery Centers, Inpatient Treatment Centers and DME providers.  HET&T Primary Services include:

•  Unlimited transmissions of the following ANSI transactions, as available on the ET&T Payer List
  • 835    Payment and Remittance Advice
  • 837    Claims (Institutional, Professional and Dental) to primary, secondary, and tertiary payers
  • 864    Text Message
  • 997    Functional Acknowledgement
• Unlimited Clearinghouse Services
  • Transaction editing
  • Payer specific editing
  • CCI edits
  • NCCI edits
  • Statistical data submission to state Hospital Associations (facilities only)
• Unlimited use of ET&T Claim Management Software
  • Claim management capabilities
  • Send and receive ANSI transactions
  • Direct claims entry or import from your software vendor
  • Converts proprietary, NSF and print image formats into HIPAA-compliant format
  • Software updates, enhancements and maintenance
  • Access patient eligibility and benefit information
  • Receive, print and/or post Electronic Remittance Advice Information
  • Analytical and denial management reporting
  • Access claim status information
• Unlimited use of ET&T Support Services
  • Training – initial and ongoing
  • Customer Support
  • Trouble shooting billing and payer issues
  • Custom Development – scrubbers, reports, etc
  • Paper claims
  • Translation Tables – development and maintenance
  • ET&T conferences
  • ET&T publications
  • ET&T website access

Supplemental Services

ET&T clients also have the flexibility to incorporate Supplemental Services into their Service Agreement.  Additional fees apply to the following Supplemental Services: 

• Transmission of the following ANSI transactions, as available on the HeW Payer List
  • 270/271    Health Care Eligibility inquiry/response
  • 276/277    Health Care Claim Status inquiry/response
• Medicare Medical Necessity Verification
  • Verify Medical Necessity prior to rendering services.  This includes the ability to print Advance Beneficiary Notice forms.
  • Front end editing on claims to determine if Medical Necessity requirements are met.