Claims submission automation integrates with various modules within your system of record to validate and process claims to ensure they reach the clearinghouse quickly. Trained software robots apply business rules to validate the claims before submission to ensure zero errors, increasing the likelihood of success before submission.
Access EHR modules to scan for claims
Validate claims utilizing business process rules
Download processed claims from EHR
Upload to clearinghouse for reimbursement
The claims process is heavily reliant on the speed and accuracy of the claim submissions to ensure a healthy, timely revenue cycle. With claims submission automation, organizations and staff no longer need to focus on the information-intensive manual tasks that contribute to operational bottlenecks. They can instead focus on other business-critical tasks to improve the care delivery mechanism. The automation solution accesses various modules in the EHR, namely insurance/self-pay, PDGM, per diem, to process claims in each of them and uploads them to the clearinghouse in a timely fashion.
Access Ins./Self Pay, PDGM, and Per Diem modules in EHR; Process all claims in each module that are identified as “Green” by downloading from EHR and upload to Clearinghouse
Subject Matter Experts who can guide you with the best solution for your problem statement
A platform that is built to ensure that workflows can be put together really quick
Pre-Built workflows that get your process automated in days
Automation-As-a-Service for you - so you can focus on the other things that matter