Claims Management Overview

Claims Management helps you achieve sustainable, recurring cash flow improvement by assuring that clean claims are submitted quickly and accurately.

Claims Management performs extensive client- and payer-specific edits and routes HIPAA-compliant 837 transactions to payers. Its editing capability allows claims to pass cleanly through the system, limiting the number of claims billers are required to handle. It efficiently manages payer responses, so claims can be corrected and resubmitted in a timely manner. Claims Management also provides robust reporting and workflow to allow users to track their claims through the entire submission cycle.

Claims Management:

• Alerts you of potential rejections so you can review and modify claims before submission
• Enhances productivity with automation
• Reduces A/R days