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Transaction Insight® Claim Attachments Manager
Healthcare organizations send and receive millions of pieces of paper daily in claim attachments alone: X-Rays, MRIs, lab results, and much more. Producing, mailing, receiving, scanning, scoring and associating these attachments with the appropriate claims is time-consuming, inefficient and expensive. Now there’s a better way.
As an extension of the Transaction Insight Automation Platform. Claim Attachments Manager simplifies the healthcare claim management processing, speeds adjudication, and reduces administrative costs.
Link Attachments to HIPAA 275 Transactions
Direct Data Entry Portal for Claim Attachments
Providers login to Claim Attachments Manager through a secure web-based portal and upload files with supporting information to be associated with specific claims.
Generate a HIPAA-Compliant 275
Claim Attachments Manager generates a fully-formed, HIPAA-compliant 275 transaction, ensuring the information you receive meets Types 1-7 edits and your business rules.
Process Claim Attachments Efficiently
Fast, Single-Pass Validation
Whether the 275 transaction was created by Claim Attachments Manager or is received from another source, Foresight’s technology is able to validate EDI and XML in the same validation pass.
This means you can ensure the X12-based 275 transaction and the HL7-based claim attachment payload are compliant with all HIPAA requirements and your partner-specific business rules without creating a processing bottleneck.
Match Attachments to Claims Automatically
Automatically matching attachments to claims saves research time by allowing your staff and partners to view all related transactions related to a patient or document.
Foresight’s rules-based matching technology is built on industry best practices, but also can be modified to meet your specific business needs.
Store Attachments Efficiently
Save disk space by automatically compressing attachments for storage in Foresight’s data repository. Or, you can link Claim Attachments Manager to your own existing repository through web services and APIs.
View and Share Attachments in a Secure Portal
Access Attachments through the Transaction Insight Portal
Speed the claim decision process by searching for documents by name, claim number, provider, and more. Foresight’s matching technology identified related transactions and allows direct-link access to additional documents and attachments.
You can also expose the Transaction Insight portal to your providers for two-way communication.
Control Access with Role-Based Permission
Ensure only the right personnel have access to claims and their attachments, with Transaction Insight’s role-based access permission controls.
The Benefits
- Dramatically reduce paperwork by allowing partners to upload attachment files and associate them with specific claims
- Speed claim adjudication decisions by ensuring attachments are received, linked to the appropriate claim, and available
- Reduce call volume by avoiding claim adjudication delays
- Improve provider relations by speeding the accurate processing of eligibility requests and claims