HFN,
Inc.
1315 W. 22nd Street
Suite 300
Oak Brook, IL 60523
Tel: 630.954.1232
Fax: 630.954.1308
Copyright 2009
HFN, Inc.
All Rights Reserved. |
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SUBMIT A REQUEST FOR MARKETING REPORT/PROPOSAL
If you want a marketing report/proposal, the following elements for each report are required to fulfill the request.
Accessibility Report:
Data must be in MS Excel format
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zip codes of employees (from census)
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desired access standards from the client
Click here for Sample format
Disruption Analysis:
Data must be in MS Excel format
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TIN#'s
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Providers' names (please separate the first and last names)
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Providers' addresses (street, city, state and zip)
Click here for Sample format
Claims Repricing:
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Bill Type (for institutional claims)
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Provider's TIN
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Provider's Last Name (or Organization Name for institutional claims)
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Provider's First Name (in separate column from first name)
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Provider's Street Address
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Provider's City
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Provider's State
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Provider's Zip
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Date of Service
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Revenue Code (for institutional claims)
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HCPCS Code (required for professional claims and if present on institutional
claims)
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Charge
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DRG number (for inpatient institutional claims at a hospital with a DRG
contract)
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Units of Service
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Modifier (if present on the claim)
Although it is not required, it is helpful to have both service and billing addresses for providers so we can determine the best and most accurate provider match.
Click here for Sample format
HFN Turn-Around Times:
| Accessibility Reports |
- 3 business days |
| Disruption Analysis |
- 3 to 5 business days |
| Average Discounts |
- 3 business days |
| Hospital Listings |
- 3 business days |
| RFP's or RFI's |
- 10 to 14 business days |
All requests may be submitted to:
Colleen Musgrave, Director of Business Support
musgravec@hfninc.com
(630)472-6512
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