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Description
A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.
Description
Remittance advice often encompasses a vast number of intricate transactions, compelling healthcare providers to engage in expensive and time-consuming manual data entry to fulfill essential patient accounting functions. To streamline this process and enhance billing efficiency, many healthcare organizations have adopted cutting-edge computer-aided recognition technologies that can extract transaction-related data from paper documents. Although this technology has demonstrated its capability to accurately pull essential data elements, several processing tasks unique to Explanation of Benefits (EOBs) still need to be tackled to ensure effective implementation. The Optiform eobXL™ for Kofax Capture solution offers a comprehensive suite of features designed to meet these specific requirements, along with data and image integration needs, all presented within an easy-to-use, “point & click” interface. By leveraging this solution, healthcare providers can further reduce the burden of manual data entry and improve overall operational efficiency.
API Access
Has API
API Access
Has API
Integrations
Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365
Integrations
Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Change Healthcare
Founded
2007
Country
United States
Website
www.changehealthcare.com/solutions/revenue-cycle-management/reimbursement-management/assurance-reimbursement-management
Vendor Details
Company Name
Optiform
Founded
1994
Country
United States
Website
www.optiform.com
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration