Meet CAM
Voice Enabled
Fully Automated 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
Claims scrubbing
Scrubbed and ready for payment, the first time.
CAM scrubs claims to prevent denials and costly rework. CAM ensures claims are complete and optimized for payment the first time by way of your clearing house or payor direct.
Colin LeClair
,
Connections Health Solutions
Primary claims
Automate claims processing, reducing costs while increasing collections.
Submitting claims is tedious and costly, with always changing nuanced rules across payors, procedural codes, services, and more. To prevent errors and free your RCM team to focus on higher-value work, CAM generates, cleans, and submits claims through your existing EDI connections or directly through payor portals.
Cara Perry
,
Signature Dental Partners
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, CAM identifies the patient’s secondary payor and the outstanding balance to be applied. CAM collects the primary EOB from the primary payor portal and attaches a cover sheet if needed before sending the secondary claim to the payor. CAM proactively monitors for the receipt of the secondary EOB and updates the claim accordingly.
,
Transformations Care Network
All Features
Description
Voice Enabled
Voice Enabled CAM quickly gathers claims data from digital sources and makes real-time calls to payors, securing accurate information to speed up reimbursements.
User-Friendly Dashboard & Alerts
Provides an intuitive interface to track claim processing, view real-time status updates, and receive alerts on claims requiring attention or manual corrections.
Efficient Claims Generation
Automatically converts bill lines into clean, payer-ready claims, ensuring quick and accurate processing.
Real-Time Claims Corrections
Detects issues like missing signatures, incorrect authorizations, and documentation gaps, applying corrections or alerting users for manual intervention.
Advanced Code Verification
Verifies diagnosis, CPT, and service codes to ensure claims match documented treatments, reducing errors and improving approval rates.
Direct Portal Submissions
Enables direct claims submission to payer portals when needed, providing real-time feedback and handling specialized cases efficiently.
Intelligent Automation with AI
Utilizes AI to learn, adapt, and automate complex claim processing tasks, streamlining workflows and minimizing manual input.
Integrated Clearinghouse Submission
Connects seamlessly with clearinghouses for error-checked, standardized claims, facilitating faster reimbursement and reducing administrative workload.
Dynamic Rule-Based Adjustments
Applies customized rules to handle specific payer requirements, such as service-specific billing codes, ensuring compliance across all claims.
Comprehensive Reporting & Insights
Offers detailed reports on claim status, denial patterns, and scrubbing outcomes, allowing RCM teams to optimize workflows and improve financial performance.
Automated Claims Scrubbing
Identifies and corrects errors in claims before submission, reducing the risk of denials due to missing information or coding discrepancies.
Scalable Across Practice Sizes
Efficiently handles varying claim volumes, ensuring accuracy and speed for practices of all sizes, from small clinics to large healthcare systems.
Cara Perry
SVP of Revenue Cycle Management,
Signature Dental Partners
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
One Platform, Endless Integrations
Thoughtful's AI agents can operate all of your systems.
Achieving Guaranteed Outcomes and ROI
Join leading healthcare providers and:
- Collect more money, faster
- Higher capacity, less headcount
- Acquire and retain more patients