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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

Claims representatives now have the opportunity to work hand in hand with policyholders like never before. Engaging policyholders more thoroughly in the claims process not only enhances customer satisfaction but also helps in lowering the expenses associated with claims handling. Today’s policyholders anticipate a high standard of service that aligns with their schedules rather than the representatives'. When policyholders are actively involved throughout the entire claims process, their satisfaction with the experience tends to increase significantly. By utilizing ClaimXperience video collaboration, you can gain the advantage of "eyes-on-site" directly from your desk, allowing for effective triage and evaluation of damage severity. This increased precision enables more claims to be settled directly, eliminating the costs tied to on-site visits. Moreover, when an on-site assessment is truly required, you can ensure that the right expert is dispatched from the very beginning, thereby streamlining the process even further. Ultimately, this approach fosters a more efficient and customer-centric claims experience.

Description

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Inovalon Provider Cloud

Integrations

Inovalon Provider Cloud

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

Xactware

Founded

1986

Country

United States

Website

www.xactware.com/en-us/solutions/policyholder-self-serve/claimxperience/overview/

Vendor Details

Company Name

Inovalon

Founded

1998

Country

United States

Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

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