Overview

Process cleaner claims

The Hosting Services give your providers access to state-of-the-art services and enables you to process and generate HIPAA compliant transactions when your adjudication system or staffing may not be equipped to do so. The results are cleaner claims, increased auto-adjudication, and reduced support expense.

Key features

• Ability to track accepted and rejected transactions
• Power to see transaction history and the response provided at the time of the provider’s inquiry
• Capability to view and audit load reports
• X12 and GUI interface options

Compatible with all claims systems

OptumInsight Hosting Services work with a broad range of claims systems including RIMS and Facets. When coupled with OptumInsight Provider Portal solutions that can connect transparently through your website, you and your providers will enjoy a complete HIPAA transaction solution.

Real-time inquiry responses

OptumInsight will also host your information and generate responses on your behalf to providers’ real-time inquiries utilizing a database interface solution hosted by us that supports both private-label portal applications and an API (Application Programming Interface).