Claims Management

Delivering unparalleled claims management functionality

Claims Management performs extensive customer- and payer-specific edits and routes HIPAA-compliant 837 transactions to payers for fast and accurate submission and payment of primary and secondary claims. Its editing capability allows claims to pass cleanly through the system, limiting the number of claims requiring human intervention. With the system's user-friendly reports and workflow, you can quickly identify rejected claims and act on them sooner, reducing days in A/R.

Claims Management delivers access to all payers, advanced editing capabilities and rapid implementation through a secure, Web-based model.

• Provides enhanced editing capabilities that significantly reduce claim rejections and claim resubmission rates
• Supports the submission of all claim types (e.g., physician, home health, DME, etc.)
• Supports combining service lines and split billing
• Claim audit information provides in-depth claim history
• Includes robust reporting, with over 20 standard reports,
• Allows development of user-specific work lists to improve efficiency
• Includes comprehensive performance management dashboard reporting
• Allows you to easily create a UB from a 1500 and vice versa
• Sophisticated searching capability allows users to identify and display specific claims in an easy-to-use listing
   

It's all in the network

Performance management dashboard
Billing Management
MedicareRT
SecondaryGold

For more information,contact us via the Web or call us at 1-800-508-8494.