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Transaction Insight® Payments Manager
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As an extension of the Transaction Insight Automation Platform, Payments Manager simplifies the HIPAA 835 remittance advice process to accelerate payment reconciliation.
Improve the Efficiency of your Payment Reconciliation Process
High-Speed Electronic Remittance Advice File Validation
Using the fastest transaction validation engine, ensure HIPAA 835 Electronic Remittance Advice (ERA) files are compliant with standards and your custom business rules. Problem transactions are flagged for errors such as incorrect coding, improper adjudication, and imbalance conditions, and other user-defined conditions.
Proactive Alerts and Work Queue Management
Automatically alert your staff of failed payment transactions, and assign rejected ERA transactions to specialized teams based on partner, line of business, error types, geography and other user-definable criteria.
On-screen Error Correction & Re-submission
ERA transactions are presented in an intuitive Explanation of Benefits style form-based view, with errors clearly indicated and noted with links to your companion guide for easy identification of reason for failed validation. Your staff can make corrections and submit the 835 for re-validation, and release the provider’s payment.
Common errors within a file can be corrected in a single, global update for all plan members.
The Benefits
- Reduce research and rework by automatically removing improper and imbalanced payment transactions before payment is made.
- Improve provider relations by speeding the accurate processing of eligibility requests and claims.
- Reduce call volume by avoiding payment delays.
- Enhance management reporting with identification of key metrics and dashboards.