Billing Management

Optum billing management products provide direct access to Medicare’s online system, confirming claim accuracy prior to actual submission. For both government and commercial payers, it applies the required edits, tracks adjudication status, and automatically generates secondary claims when appropriate.

Benefits:

• Improve first-time acceptance rate
• Automate claim submission and status inquiries to increase productivity
• Accelerate secondary claim submission
• Perform pre- and post-submission compliance checking
• Improve productivity and strengthen decision support