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Description
Enhance your claims management process while reducing denials with superior edits and a top-tier clean claim rate.
Healthcare organizations need advanced technology to ensure precise claim submissions and swift reimbursements. Claims Director, the claims management solution from SSI, simplifies billing procedures and offers transparency by assisting users throughout the entire electronic claim submission and reconciliation journey. As reimbursement criteria from payers undergo modifications, the system continuously tracks these changes and adapts accordingly. Furthermore, with an extensive array of edits across industry, payer, and provider levels, this solution empowers organizations to maximize their reimbursement efforts effectively. Ultimately, utilizing such a comprehensive tool can significantly improve financial outcomes for health systems.
Description
Effortlessly incorporate into current claims systems while streamlining automation and minimizing expenses. The dilemma of choosing between cost savings and enhancing customer satisfaction is now a thing of the past. Leverage data-driven insights for superior decision-making and automate tedious tasks to empower your claims staff. Prioritize your customers’ satisfaction by ensuring a smooth connection between incoming claims and your core insurance system. Address inefficiencies in processes through claims automation and witness a remarkable boost in customer contentment. By automating the handling of low to moderate complexity claims, you can significantly lower the incidence of manual intervention. Enhanced triaging and manual assignment of claims have led to a substantial increase in the effectiveness of case teams. The reduction in processing time for the remaining manual claims has enabled real-time settlements in numerous cases. The digital claims journey has been automated through the implementation of FNOL-completeness checks, coverage verifications, and automatic claims file generation, resulting in a more efficient system overall. This transformation not only improves operational efficiency but also cultivates a more robust relationship with clients.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
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
SSI Group
Founded
1986
Country
United States
Website
thessigroup.com/claims-management/
Vendor Details
Company Name
omni:us
Founded
2015
Country
Germany
Website
omnius.com/platform/
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
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing
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
Insurance Policy
Cancellation Tracking
Claims Tracking
Policy Generation
Policy Issuance
Policy Processing
Quotes / Estimates
Rating Engine
Reinstatement Tracking
Reinsurance Administration
Renewal Management
Underwriting Management