Clean Claim Example

ATLANTIC utilizes iHCFA a web-based claims processing system developed to allow medical practitioners to submit Auto and Workers Compensation bills directly through the web. ATLANTIC uses the HCFA-1500 format and the requirements are based on evolving Medicare guidelines.

When the bill is considered “clean” ATLANTIC is able to Pre-Fund the claim within 72-hours. iHCFA will not allow pre-funding of the bill if required information is not provided or when the system determines inaccuracies based on imbedded Carrier requirements. Providers who submit their claims directly via iHCFA will know immediately if all information required to pay the claim is present.

An example of the dynamic web based HCFA-1500 form below
shows the required fields highlighted in BLUE.