Newsletter Q3 2013

October 16, 2013

Provider Newsletter

An Overview of Q3 2013

Integra Partners Continues to Expand its Network!


New Lines of Business


The third quarter was a busy month for Integra as we continue to enhance our relationships with our existing payers in an effort to deliver additional value to our provider network.


HHH Choices

Previously: HHH Choice Gold (SNP)

Addition: HHH MLTC


Empire BCBS (NY)

Previously: O&P Only

Addition: DME



Previously: O&P and select DME

Addition: All DME services

New Payers

Integra Adds QualCare Inc. of New Jersey to its Payer Portfolio


We are happy to announce that Integra has added QualCare Inc. in the state of New Jersey covering an additional 800,000 members. QualCare Inc. is one of the Northeast’s leading providers of health care coverage with clientele spanning from health systems, to unions, local governments, school boards, small business, and some of New Jersey’s largest coporations. Their network covers over 100 acute, specialty, and rehabilitation hospitals, as well as over 20,000 physicians and other ancillary providers.


And remember, when calling Qualcare to check eligibility and benefits, please utilize ourNew Jersey Tax ID!



Independence Care System (ICS) Selects Integra Partners for O&P Services

Integra Partners is now live with Independence Care Systems! ICS operates a nonprofit Medicaid managed long-term care plan in New York City designed to assist Medicaid and nursing home eligible adults with physical disabilities or chronic illnesses.



ICS coordinates all home care, personal assistance, housekeeping, health care and social services, working with a patient’s primary care doctor, physician specialists, home care agency, and a wide array of community-based providers.

Integra Partners is Now Par with ArchCare Community Life

ArchCare Community Life is a Medicaid Managed Long Term Care Plan (MLTC) that delivers a wide range of community-based long term care benefits including skilled nursing care, home health aides, adult day care, physical, occupational and other therapies, amongst other services all focused on keeping their members safe and healthy in the place that they call home.


ArchCare members reside in New York’s Five Boroughs, Westchester, and Putnam County.

Employee Spotlight- Rich McMullen, Corporate Controller

Q: Where are you originally from/where do you live now?

A: Born and raised in West Babylon, NY on Long Island.  I moved to Pennsylvania, back to New York City, out to San Francisco, back to New York City, only to end up living in Babylon, NY…5 miles from my childhood home.  It’s been a long, strange trip.


Q: What did you do prior to Integra?

A: I was the VP of Finance at a publicly traded modeling agency.


Q: What is your role at Integra?

A: My role is all things financial.  My official title is Corporate Controller.  I also oversee our Claims team.


Q: What attracted you to Integra?

A: What initially attracted me was the idea of working in healthcare, which I had not done before.  After meeting with Andrew and the rest of the management team, however, the culture is what sealed the deal for me.  As a team, we have a shared vision of what we are working towards and we help each other in any way we can.  Egos get checked at the door.


Q: What is your favorite part about your job?

A: SPREADSHEETS!  Ok, I’m only half-kidding.  I’ve actually enjoyed getting to know and help some of our providers.


Q: What do you enjoy outside of the workplace?

A: I’m a voracious reader.  I have about 4 full bookcases at home and much more on my kindle.  I’m currently reading “The Art of Explanation” by Lee Lefever (


Q: What’s your favorite food?

A: I’m not even sure where to start with this.  It is probably easier to just tell you the foods I don’t like: capers, olives and Brussels sprouts…that’s about it!


Q: Do you have kids?

A: I have a 15 month old daughter named Sophia (see attached family photo).


Q: Jets or Giants?

A: I’ve been a Giants fan since before I can remember.


Q: What advice do you have to providers to help them with their day to day activities?

A: Sign up for ACH (direct deposit) payments and stop wondering when the check will arrive in the mail.

Direct Deposit – Speeding Up the Flow of Your Money


Are you tired of waiting for your check to come in the mail each week, walking down to your local bank, and then waiting for the funds to clear? Do you wish you could speed up the turnaround time and have your funds deposited electronically?

Now you can by enrolling in our Direct Deposit feature! With ACH deposit, the money from your weekly reimbursement checks will be automatically deposited directly into your bank account… that’s up to 4 days faster than by check!


Fast Facts for Existing ACH Enrollees

  • We generally schedule ACH payments Sunday, from the week before


  • Since Monday is the first business day of the week, the payment should reach your account on Tuesday


  • Some receiving banks will post to your account the same day, other banks do over-night posting


  • If your bank does overnight posting, you may not see the deposit in your account until Wednesday


  • You will continue to receive a hard copy of your EOB


If you have any questions or concerns please feel free to e-mail Rich McMullen at or call him at (646) 747-4110.

Network Survey Drawing Winner


We are pleased to announce the winner from our Provider Survey drawing. The Grand Prize Winner is Freeport Medical Supply who will receive an iPad mini! The second prize goes to North Shore Orthotics-Prosthetic LTD who will receive a gift card.


We would like to thank all of those who participated in this survey. Your feedback is invaluable to us as we strive to continuously improve our processes and enhance our customer experience. Look for our next survey in early 2014.

Patient Eligibility File


Have you seen the new patient eligibility feature built into our billing platform? This new tool allows providers to verify if the member’s insurance is active, check the spelling of their name, date of birth, gender and other demographics to assist in making the patient-provider experience more seamless. This is a great tool to determine if the patient is eligible for service coverage as well as other details regarding their plan. We hope that you will enjoy this as much as we do while helping avoid costly writeoffs.

*This is not a substitute for verifying eligibility and benefits with the members plan

Upcoming Industry Events


November 6-8, 2013

Balley’s Hotel & Casino

Atlantic City, NJ

Click Here to Register



Integra Forms and Videos At Your Fingertips


Integra has been hard at work creating new ways for providers to access documents and training materials. With that, we have added a Forms and Videos section under the Resources tab on our website ( When accessing the site, you may utilize your billing software credentials to login.




This page will be continuously updated with new forms and other training materials including fee schedules to assist our providers in their day to day activities.

Document Upload Feature


A new document uploading feature has been added to our billing system for your convenience! Remember, when submitting a claim, all necessary documentation must be submitted in order for us to process your claim and get you paid! This new feature will serve as a reminder as well as streamline the process. For more information visit our website–>click on Resources–> Forms and Videos–> Login using your credentials–>Browse all of our resources!


          Tel: (718) 369-0012
Fax: (718) 287-1229


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