Claim Submission

What is Claim Submission?

Timely submission is very critical step in the Revenue Cycle Management process. The claim submission ensures that the claims are created, scrubbed, and submitted in a seamless fashion to provide enhanced customer experience.

Signature issues with lack of effective eClaim submission process include:

Our Solution

We use AI and Robotic Process Automation and intelligent workflow to auto-generate the claim, auto-verification of the insurance and coverage eligibility, auto-scrub, and electronic submission of the claims. The intelligent workflow performs all the industry standard validation rules for the clean claims and supports all standard claims forms including CMS-1500 and UB04/CMS-1450.

Benefits

Benefits of automated Eligibility and Benefits verification

  • Speed to cash
  • Significant time and cost savings
  • Ability to auto scale
  • Enhanced customer service
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