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Claims Management |
| CERECONS gives physician networks the tools to directly submit electronic claims without the costs associated with most electronic claims submission programs. |
CERECONS gives your medical and business administrators the ability to provide your physician network the tools to directly submit electronic claims without the costs traditionally associated with electronic submission. Additionally, CERECONS claims module supports healthcare providers with the following key features:
- Claims submission, claims exception, and pre-adjudication support through an advanced HIPAA gateway
- Direct claims submission with batch capability
- Single-claim entry into familiar CMS 1500 form, pre-filled with patient-specific information
- Detailed transmission reports with immediate error correction capability within the claims management module
- EOB details viewable and printable
- Automatic synchronization of claims status with backend adjudication systems
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