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

DentiMax

Availity

Flatiron Health

iDentalSoft

Ortho2 Edge Cloud

Planmeca Romexis

Medhost

Dovetail

eClinicalWorks

Axex Dental

e-MDs

Casetabs

Brighter Vision

Surgimate

WebPT

HST Pathways

AestheticsPro Online

Sevocity

AllegianceMD

MTBC

iPatientCare

ACE Dental Software

TherapyNotes

ChARM EHR

ModMed

TouchWorks EHR

Valant

ChartLogic

CoverMyMeds

e-MDs

PatientPop

One Medical Passport

ADSTRA Dental Software

TotalMD

Medhost

Optum Health

VisionWeb

MOGO Cloud Dental Software

MacPractice DDS

Planmeca Romexis

ACE Dental Software

Practice-Web Dental

TigerView

Brighter Vision

SOAPware

eClinicalWorks

Kareo Clinical

Healthland

Athenahealth

MTBC PracticePro

TouchWorks EHR

Hello Health

Practice Fusion

IntrinsiQ

Raintree Systems

ChartPerfect

ACE Dental Software

WebPT

NaviNet

One Medical Passport

AdvancedPM

Greenway Intergy

Availity

Sigmund Software

Casetabs

ClinicTracker

Bravado Health

PatientNOW

NueMD

ONC Certified Software

Lytec MD

ADSTRA Dental Software

WRS Health

VisionWeb

CounSol

My Clients Plus

AmkaiCharts

Brightree

Office Practicum

ICANotes

Epic Systems

Philips Healthcare

NextGen Healthcare

ACE Dental Software

Office Ally EHR 24/7

Medidata Solutions

Lytec MD

RevolutionEHR

iSirona

One Medical Passport

SurgiSource

eClinicalWorks

NaviNet

SRS Health

CureMD

iDentalSoft

Flatiron Health

CPSI

DentalWriter

TherapyAppointment

Merge Healthcare

TotalMD

OfficeEMR

ONC Certified Software

Allscripts

Practice Fusion

Medidata Solutions

Carestream Dental Software

CureMD

AestheticsPro Online

AdvancedEHR

Hello Health

SourceMed

EyeMD EMR

Cerner

DuxWare

Sigmund Software

Modernizing Medicine

Siemens Healthineers

IntrinsiQ

ADSTRA Dental Software

Practice EHR

DentiMax

Eaglesoft

ClinicTracker

See why leading healthcare providers choose Thoughtful.

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