To meet the demands of our various payer clients, NIA maintains flexibility in the flow of claims and payments.  We work with every payer to be certain that the processes that are implemented are in the best functional interest of the clients and their members.  Claims and payments can flow directly between the provider’s office and the payer or through NIA.  We understand and respect the importance of timeliness and accuracy of claims sent to our clients and the payments made to our providers.  NIA sends HIPAA-compliant electronic claim transactions to our payer clients on a daily basis. For those payers that prefer or require paper claims to be filed, NIA generates and submits CMS-1500s daily.