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Use Case

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SC

Secondary Claims Filing

This bot continually navigates to Central Reach (ABA Software) and files Secondary insurance claims.

Industry:

Healthcare

Behavioral Health

Dental

Physical Therapy

Eyecare

Medical

Function:

Accounts Receivable

Steps

  1. Login to Domo and get Payor information and Provider mapping files.
  2. Login to Central Reach.
  3. Sets predefined filters for Secondary claims to process.
  4. Checks to ensure the agreed rates with the provider and type of provider match with the repository of agreed rates.
  5. Generate the secondary claim in Central Reach.
  6. Navigate to Waystar, search the patient and open the primary EOB.
  7. Populates all required fields in Waystar with the information from the EOB and submit the Secondary claim for payment collection.

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