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Transaction Insight® Claims Manager
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As an extension of the Transaction Insight Automation Platform, Claims Manager accelerates and improves claim transaction processing through specialized validation, reporting, display and error correction of HIPAA 837 and 27X claim transactions.
Improve the Efficiency of your Claims Operation
High-Speed Claim Validation
Using the fastest transaction validation engine, good claims are passed for adjudication while non-compliant claims are split and routed for correction. Claims Manager is used by healthcare organizations processing in excess of 2 million claims per day.
Partner and Provider Communication
Inform your partners and providers of claim status through detailed performance reporting and proactive alerts with links directly to errors within documents.
Work Queue Management
Automatically assign troubled claims to specialized teams based on partner, line of business, transaction type, error types, geography and other user-definable criteria, and track your teams’ productivity with automatic performance reporting.
Form-based Transaction View
See claims documents in a familiar form-based on-screen document view. Errors are clearly highlighted on the screen with direct links to the appropriate companion guide for detailed description of the problem, so you don’t need to be an EDI expert to find and interpret errors.
On-screen Error Correction & Re-submission
Allow your staff and/or partners to correct and resubmit claims transactions through the Transaction Insight portal or your own custom portal for immediate re-validation and processing.
The Benefits
- Reduce expenses related to claims research and re-work through improved access to information and on-screen display and error correction
- Eliminate full-batch claim rejections by splitting and re-routing claims
- Reduce the volume of provider phone calls for status updates and
- Improve provider relations through empowerment and information