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.
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 of automated Eligibility and Benefits verification
Healthcare, Revenue, AI, Automation
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