While health care costs continue to rise, most government payers of medical claims are still mired in the decades-old model of manually processing paper claims, using antiquated OCR technology or relying on a costly third-party processor. Public IT leaders are challenged by a poor track record in denying and paying medical claims compared to private sector payers.
Drive greater cost efficiencies and accuracy, speed processing and approve and pay more claims with an automated claims processing solution for both professional and institutional medical claims including Medicare, Medicaid, TRICARE, CHIP, VA disability, CHAMPVA and worker’s compensation claims. Handle more claims with fewer people and greater visibility across your claims process. Enrich citizen relationships with world-class responsiveness and transparency and with the ability to readily share information with providers, beneficiaries and internal constituents.
Automate
Eliminate manual keying and automate healthcare claims-related processes, reducing errors and costs.
Pre-adjudicate
Auto-direct “clean claims” into full adjudication and “problem” claims into exception workflows.
Analyze
Provide management visibility across operations and gain processing performance insights through business analytics.
Transform
Reduce cycles and time, speed payments and improve beneficiary satisfaction while keeping costs low.
