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2260 Apollo Way, Suite 103 |
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2260 Apollo Way, Suite 103 |
ClaimRemedi provides a full range of products and services to help billing services take control and manage the entire lifecycle for their provider customers’ insurance claims. We provide connectivity to all commercial and government payers who accept professional, institutional and dental electronic claims. Our claims scrubbing and on-line editing catch errors that lead to payer rejections and denials — allowing for corrections to be made before claims are forwarded to payers.
Our claims workflow management solution provides complete claim tracking from submission through claim adjudication — and facilitates assignment of claims that need staff follow-up. ClaimRemedi analytical tools and reports help manage your provider customers’ denials, measure staff productivity, provide audit trails, compare payer payments and denials, and identify the most common reasons for claim errors and payer denials to help them avoid future problems.
We provide conversion of non-837 claim files — NSF professional, institutional and dental formats, professional and institutional paper print images, EMC, and a variety of other non-standard formats. Our print-to-paper services for professional, institutional and dental claims provide claim submissions for your billing customers to payers who do not accept electronic claims.
ClaimRemedi offers your customers Electronic Remittance Advice (ERA) processing for downloading ERAs into your billing service customers’ practice management/billing systems to facilitate auto-posting — as well as providing human readable ERA reporting tools for manual posting and other analyses.
And finally, our eligibility verification provides fast and easy access for your billing services customers’ to payer eligibility and benefit information for establishing patient coverage, including co-payment and coinsurance and deductible amounts.