Claim Status Tracking & Verification | Claim Status Management

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Insurance Claim Form

Our Automated Claim Status Verification module is a “lights out” process which queries the status of every claim you have on file with all your payers and notifies your staff which claims are ready for any follow-up work on a daily basis.

This daily process ensures your staff are notified at the earliest time possible when further action is required for the claim to be paid.

There is nothing your staff needs to do to check the status of their claims. We bring back and display to you the entire claim message posted on the payer’s web site.

Based on the contents on the message we filter out all claims which require no further action and route the message to the appropriate staff member for follow-up work.

You have the option of combining the Claim Status Verification module with our Underpayment Analyzer. When you received a claim message back with a status of paid, how do you know it was paid per the terms of the contract? Underpayment Analyer will identify all under and over payments the day you receive them.

Key Benefits:

Staff Productivity: There is no need for your staff to manually query a payer’s web site to check the claim status. We do it daily for you.
Reduce Accounts Receivable Days: Your staff will have more time to focus only on claims which require work. Claims will be reworked in a more timely manner.
Improved Denials Management process: You will be notified of Denied Claims at the earliest possible time. Why wait for the remittance to come back before you take action, when you have already been notified at the time of Claim Adjudication.
Improved Productivity Reports: With the multiple Productivity Reports available management will always be able to see how long claims have been sitting in a specific status, by user.

Features

Automated Self Pay to Medicaid Eligibility Check

Charity Care Management

Claim Status Verification

Custom Solutions

Financial Dashboard

Patient Payment Estimator

Underpayment Calculator