Identifies payer requests for additional documentation, automatically retrieves and submits requested documents. Updates work lists with proof of submission and assigns next appropriate follow-up task.

This solution intelligently processes denial notices and relevant clinical data to autonomously construct contextual and precise clinical appeals.

Searches multiple sources to identify coverage for uninsured accounts or verify coordination of benefits for Medicaid MCO, Medicare MVA and other cases.

Ensures verifications are complete before claim submission, streamlining the approval process.

Automate the settlement of late charges and credit balances through a sophisticated, rule-based management system.

Ensures acknowledgment of claim submissions, preemptively highlights denials prior to the receipt of the 835 transaction, and ascertains the status of outstanding aged accounts.

Seamlessly correlates patient payments from various channels, including payment portals, lockboxes, and cashier sources, as well as diverse methods like credit cards, ACH, and checks, ensuring alignment with bank deposits.

Ensures accurate alignment of verified payments with respective patient accounts for financial integrity.

Matches remittance advice documentation, whether electronic (835) or paper-based (EOB), with corresponding bank deposits.

Ensures that verified insurance payments are systematically reconciled with patient accounts for streamlined financial management.

Retrieves EOBs from payment sources not available via your clearinghouse vendor.  Examples include workers comp, state and local governments, MVA and more. 

Converts EOB reports from all sources, including lockbox, web portal or mail, to ready to post 835 files.

Streamlines the cash management workflow from 835 retrieval and deposit confirmation to batch processing, application, reconciliation, and handling of discrepancies.

Reviews the content of each document accurately categorizing and assigning appropriate action.