Claims processing is a complex task, it involves a no. of formalities to be taken care of. It is an additional burden on healthcare professionals and hospitals but we can not deny its importance in getting claims reimbursement. It involves eligibility verification, coding, filling up diagnosis / treatment and other patient details. It usually consumes majority time of healthcare professionals and their staff. Often the manual system leads into a number of errors resulting into denial of claims or delay in reimbursement.
The new age health IT solutions like claims management system are claiming to be of great help and support. The system provides with easy to use ready data entry form. A chart to select the medical codes, online verification, error handling and much more.
The important features include:
* Check for errors of coding and billing
* Send you an EOB (explanation of benefits)
* Pre-adjudicate the claim to make it accurate
* File the processed claim with the insurance company
* Provide you electronic eligibility details and claim status
* Receive denied claims and re-adjudicate them as recommended to get them approved
A fully-functional claims management provides the users with numerous functionality that ensures speedy claims reimbursement at reduced costs.
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