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Claims
Are the following questions and situations similar to what come up within your department?
- What do you mean they can't give us an electronic file?
- Why are our claims running so high this week?
- What are some trends with our claims. Are some duplicated?
- How many claims do we have with non-contracted specialists or organizations?
- What do you mean you need another claims processor?
Did you know that:
- Only about 100 claims can be manually processed in one day by one processor
- Over 400 claims per processor per day can be processed when electronically loaded
We offer you this information at your fingertips to answer these questions and more!
Claims Support
Solutions:
Claims departments can now:
- Provide real-time status on all claims
- Obtain and produce online claims analysis reports
- Allow physician offices to lookup their claims by date, patient, or amounts
- Provide online explanation of benefits for members
- Allow electronic submission of claims files in various formats
- Submit electronically claims to the current legacy system
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