Claims Processing

Clean your claims, reduce denial rates, and cut RCM costs.

75%

or more reduction in claims denials

95%

reduction in manual time spent on cleaning and submitting claims

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Claims scrubbing

Scrubbed and ready for payment, the first time.

Our Claims Processing automation scrubs claims to prevent denials and costly rework. It ensures they are complete and optimized for payment the first time by way of your clearing house or payor direct.

Primary claims

Automate claims processing, reducing costs while increasing collections.

Submitting claims is tedious and costly, with nuanced rules across payors, procedural codes, services, and more. To prevent errors and free your staff to focus on higher-value work, our Claims Processing automation generates, cleans, and submits claims through your existing EDI connections or directly through payor portals.

Secondary claims and Coordination of Benefits

Secondary claims and beyond, we’ve got you covered end-to-end.

After the primary payment has been applied to the claim, our Claims Processing automation identifies the patient’s secondary payor and the outstanding balance to be applied. It collects the primary EOB from the primary payor portal and attaches a cover sheet if needed before sending the secondary claim to the payor. It can even proactively monitor for the receipt of the secondary EOB and update the claim accordingly.

Collect more money, faster.

Higher capacity, less headcount.

Acquire and retain more patients.

These companies have already seen the benefits of automation...

"I’ve been amazed at Thoughtful’s ability to deploy automation modules that run my business processes while my staff focuses on other higher-value tasks. By reducing the time taken to complete the process by 90%, it has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on the minutiae of a repetitive process."

"Thoughtful has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on repetitive processes."

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Kevin Silver, CFO

235%

return on investment

90%

reduction in invoice processing time

"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An automation module is now part of our accounting team, performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."

"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An automation module is now performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."

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Zach Leonard, Founder

30%

reduction in costs

100%

automated billing

"Using automation modules significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our modules continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

"Automation modules are significantly reducing our efforts, allowing us to optimize productivity in other core areas. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

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Brittany Turner, Director of Compliance and Systems

95%

faster than human team

100s

applications processed per day

Integrates with all of your systems

BestNotes

Welligent

CyramedX

Doximity

PatientKeeper

Eaglesoft

Nextech

Agfa HealthCare

OmniMD

American Well

e-MDs

SourceMed

Carestream Dental Software

PracticeSuite

ICANotes

Athenahealth

Epic Systems

DuxWare

AdvancedInsight

Brighter Vision

SoftDent

ChartPerfect

McKesson

Aesthetic Record

EyeMD EMR

Agfa HealthCare

PCC Pediatric EHR

TouchMD

PatientNOW

AdvancedInsight

ACE Dental Software

Eaglesoft

FoxFire EHR

Practice EHR

ABELDent

Siemens Healthineers

eClinicalWorks

TotalMD

VersaSuite

RXNT

Remedly

ONC Certified Software

Valant

Office Ally

Allscripts

MTBC

HealthStream

CyramedX

Luma Health

Office Ally EHR 24/7

Eyefinity

AdvancedInsight

PatientPop

TheraNest

TherapyNotes

Datacon Dental System

ChartPerfect

Philips Healthcare

Nextech

SourceMed

Welligent

eClinicalWorks

TouchWorks EHR

MOGO Cloud Dental Software

AestheticsPro Online

Medhost

MacPractice DDS

PrognoCIS

Axex Dental

HealthFusion

PIMSY

iSALUS Healthcare

Office Ally

Intergy by Greenway Health

PCC Pediatric EHR

Intergy by Greenway Health

Meditech

OncoEMR

ADSTRA Dental Software

TigerConnect

Brighter Vision

AllegianceMD

Sevocity

CounSol

Ambulatory Surgery Center Software

Medhost

CyramedX

Practice Fusion

EyeMD EMR

PatientPop

SRS Health

Prognocis EMR

Casetabs

NextGen Healthcare

InSync Healthcare Solutions

Ingenious Med

PrognoCIS

PIMSY

Modernizing Medicine

AdvancedPM

e-MDs Solution Series

FoxFire EHR

Merge Healthcare

PrognoCIS

Sevocity

eClinicalWorks

American Well

Flatiron Health

Waystar

SRS Health

TherapyNotes

TouchWorks EHR

PineappleHR

Valant

PatientNOW

Nextech

Nookal

Exan Power Practice

Remedly

BestNotes

SurgiCare

NueMD

Meditech

QGenda

eClinicalWorks

Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

  • Collect more money, faster
  • Higher capacity, less headcount
  • Acquire and retain more patients

Request Demo