Flexible Suite of Digital Healthcare Payments Options

Jopari ProPay brings to healthcare Payers an industry flexible, full spectrum set of payment methods that work in concert with a Payer’s existing bill review, claim, and financial systems allowing Providers to choose the payment method best suiting their practice or organization’s needs. This suite of multi-tiered payments options leverages advanced disbursement technologies to: (1) reduce costs of payment processing; (2) increase accuracy; and (3) streamline cash and remittance flows for both Providers and Payers.

Jopari ProPay Value Proposition

Healthcare Payers eliminate paper and reduce operational expenses with Jopari ProPay.

Jopari ProPay allows Payers to outsource and streamline their paper-based payment and remittance processing, while migrating over 75% of payments to electronic methods – at a fraction of existing manual processing costs.

This next-generation solution in payment processing offers Providers a multi-tiered choice of payment delivery options, including: EFT\\ERA; Virtual Card payments with electronic EOB/R; or Paper Checks & EOB/R.  Jopari ProPay features a self-service Provider portal for EOB/R delivery; and supports compliant 835 delivery to support eBilling transactions.

Reporting Capabilities

Jopari offers both standard and dynamic reporting capabilities. Reports can be generated on an ad hoc basis or set up on a schedule for automatic distribution to designated emails or FTP distribution. Standard electronic reports are delivered via FTP or available via website access. Paper reports are provided in readable format, obtainable through download, saving, and printing locally via the website, or from the FTP transmission. A suite of 100+ reports are available to analyze all contact center activities. Jopari does not provide Payer-to-state reporting services.

Standard

Standard Payer Reports to support eBill and Payment Processing are available via the Jopari Payer Portal in on-demand/real time and include:

• Bill Count
• Bill Turnaround
• Bills at Risk
• Post Payment Processing Reports

Ad hoc reporting (XLS on-demand / real time)

Compliance and Security Risk Management Program Overview

Jopari’s ProPay Products and Services comply with state and federal security, privacy and payment regulations. These requirements include, but are not limited to, (1) building and maintaining a secure network (e.g., maintaining a firewall configuration to protect data), (2) protecting  data (including encryption of transmitted and stored data), (3) maintaining a vulnerability management program, (4) implementing access control measures, (5) regularly monitoring and testing networks (6) maintaining  information security and privacy policies (7) fraud detection and prevention and (8) industry payment best practices. Click here for an overview of Jopari’s ProPay compliance and security risk management program.

Jopari ProPay Trust

Jopari ProPay Trust processes over $9 billion in healthcare benefit payments annually, serving more than 50,000 ERISA health plans and fully insured groups.

The Jopari ProPay Trust is an integral part of the Jopari suite of solutions and functions as a “Payee” Trust. Obligations to payees (providers or members) from adjudicated claims of healthcare benefit plans are deposited in the Jopari ProPay Trust. The beneficiaries of the Trust are, therefore, these payees. The Jopari ProPay Trust holds these funds on behalf of these payees until they accept an electronic transaction or cash a paper check for the funds assigned to them. Trusts are strictly regulated by federal and state laws to ensure that assets held by the Trust are protected, on behalf of the beneficiary, from loss, fraudulent use and the bankruptcy of any parties. Jopari believes that this type of protection is vital to our clients and the people they serve.

Jopari ProPay Trust Guarantees:

• Asset Safety Funds in the Jopari ProPay Trust are stable, liquid and cannot be lost
• Control Only the beneficiaries of adjudicated claims approved by health plans receive payments
• Conveyance Efficiency Benefit payments are made to the payee quickly and easily
• Protection Assets are protected from bankruptcy claims
• Security Trust assets are protected from fraudulent use
• Confidentiality All information is kept private and secure