Frequently Asked Questions

Payers

How will providers connect to PNT Data?

Providers simply download the Doodad® utility from the PNT Data web site. Our team will handle all installation and support issues – there’s no additional burden for your staff.

Do we need to install a custom interface?

No. PNT Data will mirror your clearinghouse connections, and can deliver claim files to any location you select. Standard links are also available – e.g. S/FTP, PGP encrypted files, HTTPS, and multiple options for real-time transactions.

What is the typical implementation time?

Depending on your schedule, the PNT Data connection can be installed and tested as quickly as one day. PNT Data makes implementation easier to set up than a standard trading partner connection.

What type of transactions does PNT Data support?

The PNT Data Healthcare Services Platform can handle every HIPAA/ANSI transaction type and format. This includes the 837 and 835 transactions as well as real-time and batch eligibility (270/271) and status requests (276/277). Contact us for the complete list of transactions.

Can PNT Data support older claim formats – NSF, HCFA and UB-92?

No. PNT Data does not support conversion of legacy NSF, UB-92, and HCFA “print image” claims to the HIPAA-compliant 837 format.

Does PNT Data support file attachments – including clinical data?

Yes. PNT Data can securely deliver most types of attachments, including scanned documents, clinical data, clinical images, PDF files, e-forms, and related files.

Can PNT Data handle large volumes of claims?

Yes. There are no limitations on claim volume or file size; the PNT Data Healthcare Services Platform is designed to provide very high performance with high availability, 24 x 7 with a guarantee of 99.9% system availability – excluding planned maintenance windows.

Is PNT Data compatible with S/FTP, PGP encryption and third-party products?

Yes. In addition to the Doohickey utility for payers, PNT Data also supports standard communications tools and protocols, e.g. S/FPT, PGP and HTTPS. If you’ve implemented a secure third-party product, e.g. Cyclone™, we can support that as well.

Does PNT Data provide transaction and operational status reports?

Yes. You will receive a login for the PNT Data Doohickey reporting system for payers, which includes complete transaction status reports.

Does PNT Data support file attachments – including clinical data?

Yes. PNT Data can securely deliver any type of attachment, including scanned documents, clinical data, clinical images, PDF files, e-forms, and related files.

Do I need to dedicate a PC or server to run the PNT Data connection?

No. The PNT Data Doohickey utility is small and light, and compatible with standard desktop PCs and servers that are also used for other applications. No special hardware or software is required.

Does PNT Data support links to Unix / Linux and mainframe systems?

Yes. The Windows-based Doohickey utility supports standard network folder/file links to any system running any OS. PNT Data also supports standard S/FTP, HTTPS, and PGP encrypted file links to Unix / Linux and mainframe systems, and secure third party tools, e.g. Cyclone™.

We have a number of sites and groups – is PNT Data compatible?

Yes. You can install the Doohickey utility on multiple PCs or servers, at multiple locations.

Providers

When will I know that my claims have been received?

In minutes, you will receive a confirmation showing that your claim file has been delivered. No more clearinghouse delays and missing claim files!

How many payers are linked to PNT Data?

The number of payer connections is constantly increasing. Click on the following link to check the current list: Payers currently linked to PNT Data.

Does PNT Data provide transaction reports?

Yes. Every claim file you submit is checked, validated, financially balanced and logged by the PNT Data Healthcare Services Platform. You can access reports at any time with our Claim Management Center. Claim confirmation receipts can also be delivered via email.

Do I need to install an interface to my system?

No. The PNT Data Doodad utility will automatically transmit and receive responses. (Standard EDI links and web functions are also available for larger providers, if needed.)

If there is an error, will my entire file be rejected?

No. This is one of the key functions provided by the PNT Data Healthcare Services Platform – if an error is found in a claim, it is automatically pulled from your original claim file and returned to you. This claim splitting mechanism allows the “good” claims to be rebalanced for financial integrity, and continue on for immediate delivery to the payer. This eliminates unnecessary reimbursement delays.

Can we use S/FTP, PGP or other tools to send claim files?

Yes. In addition to the secure Doodad utility, PNT Data also supports S/FTP, PGP encrypted files, HTTPS, and third-party tools. PNT Data will work with you on your choice of protocol.

Our system creates NSF / HCFA / UB-92 claims – can I use PNT Data?

The PNT Data system is designed to process claims that have been batched in the ANSI 837 format. However, we have contracted with third party vendors in order to accommodate clients who utilize legacy claim formats. Please select either “Manual Claim Entry (I don’t have billing software)” or “Claim Submission HCFA 1500” during the registration process to be directed accordingly.

Can I continue to use my existing clearinghouse and Blues links?

Yes. The PNT Data Healthcare Services Platform is not exclusive – you can continue to use your existing connections to clearinghouses, Blues plans, Medicare and Medicaid.

Can PNT Data handle large volumes of claims?

Yes. There are no limitations on claim volume or file size; the PNT Data Healthcare Services Platform is designed to provide very high performance with high availability, 24 x 7. The only limitations would be those of the Health Plans when applicable.

Do I need to dedicate a PC or server to run the PNT Data connection?

No. The PNT Data Doodad utility is small and light, and compatible with standard desktop PCs and servers that are also used for other applications. No special hardware or software is required.

What is a Practice Management System?

A practice management system (PMS) is software that captures billing data such as insurance payers and patient demographics. It is also used for scheduling appointments, creating electronic claim files, and generating reports.

How long does the enrollment process take?

Enrollment takes just a few minutes. Once we confirm your interest and transaction format capabilities, we will assist you with implementation and testing.

Why is your service free?

PNT Data is subsidized by the health plans to which we connect. In return, PNT Data provides all client implementation, training and support free of charge. We are committed to providing world-class customer service. Your calls are answered live,e-mail support requests are answered quickly and claims sent to the health plans are HIPAA compliant.

Can I use it while I upgrade my Practice or Billing system for ICD-10?

Yes. There are no term commitments to use the software and you will not be billed, however you must enter a valid ICD-10 code for the claim to process

What can I use if I cannot create an ANSI X12N 837 file?

  • If your billing system does not create the ANSI X12N 837 format, you may choose our manual claim entry or our HCFA 1500 enrollment option to enroll with our business partner, Ability Network.
  • You can use the solution from Ability Network while you are in the process of upgrading your system to ICD-10. The solution is free to you for commercial payers and there are no term or volume commitments.
  • If you are already an Ability client, please contact them directly for additional information and questions.