Element5's denial management automation solution removes the need for care staff to perform all the manual processes required to rectify denied claims. Mitigating the trouble of all the tedious, repetitive documentation enables clinical staff to focus solely on patient safety and ensuring all their needs are met.
Monitor clearinghouse for new EOBs
Identify denied claims from EOBs
Import denials status, reason code to EHR
Redirect claim to staff for correction
The automation solution monitors clearinghouse(s) for newly posted EOBs, utilizing business process rules, it identifies all the denied claims from EOBs and imports them into the EHR along with the relevant details such as denial status, reason code, etc. Thereafter, the workflow triggers the redirection of these denied claims to the relevant staff for re-correction at the earliest possible time. This helps save hundreds of hours every week on the manual, repetitive task of scouring through the EOBs for denials and the subsequent reprocessing of denied claims.
Monitor Clearinghouse(s) for newly posted EOBs, Identify denied claims from EOBs on the posting date, and Import into EHR the denial status, reason code, and trigger workflow in EHR to route the claim to the appropriate staff for correction (all before the 835 is even available to download from the 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