Electronic Remittances Overview

OptumInsight Netwerkes is able to receive electronic remittance from over 300 payers for the electronic 835 and provides you with the ability to automatically post the 835 file. Each remittance is attached to the original claim and can be accessed at any time.

Netwerkes will pick up your electronic remittance files from a wide variety of carriers which can be downloaded and posted to your practice management system for auto-adjudication of accounts. All remittance advice is posted to your claims data, allowing you to create reports and secondary claims from the remittance advice. 

Electronic Remittances are just one feature of OptumInsight Netwerkes, a web-based clearinghouse that provides primary and secondary electronic claims transmissions, electronic remittances, eligibility verification, claim statusing, and much more to help you supercharge your revenue cycle with faster reimbursement and compliant claims resolution.

With the Netwerkes transparent system, provider staff can see where every claim is in the transmission process at all times. In addition, this premier large provider group and hospital clearinghouse solution automates existing business processes to help you:

• Eliminate recurring errors 
• Prevent underpayments, overpayments, and denials 
• Increase auto-adjudication rates and productivity