Our Claims Processing product 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.
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 product generates, cleans, and submits claims through your existing EDI connections or directly through payor portals.
Secondary claims and Coordination of Benefits
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.
Our AI-powered automation fleet is flexible, scalable, and configurable.