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.

Cara Perry

VP of Revenue Cycle Management
Signature Dental Partners

Everything is running 24 hours a day, and accurately, which is all you can ask for when it comes to RCM.

It's like training a perfect employee, that works 24 hours a day, exactly how you trained it.

Cara decreased days sales outstanding to 45% below industry standards

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