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Claims / Payment Management Solutions

Navigating the myriad of payers and systems required to conduct electronic billing and claim submissions can be a daunting challenge for modern healthcare providers. By partnering with STS claims and payment management solutions, customers are given powerful, flexible, and easy-to-use solutions to track all primary and secondary electronic claims through the entire revenue cycle for over 1,200 national, regional, and government payers.

Emdeon will further solidify its role as the industry-leader in claims processing by providing new, advanced tools that will allow submitters to interact in real-time, shortening resolution times by dealing with rejections up-front, and dramatically reducing billing cycle times.

Emdeon will also be adding the most comprehensive set of edits available, providing the highest first-pass claim rate in the industry. In addition, Emdeon offers tools for providers to manage payment reconciliation processes.

Electronic Claims with Electronic Remit Benefits

Features

Benefits

Visibility into all claims bound for the payer online images of paper claims tracking for all Emdeon claims including those routed externally for re-pricing multiple search options with user-defined criteria fifteen months of claim history multiple output options for reports including PDF and Excel formats Faster adjudication, shorter billing cycles, and increased cash flow. Resolve provider inquiries quickly and completely use the same tools providers are using fast and easy end-to-end claim tracking claim status information on all claims regardless of acceptance or rejection by Emdeon or the payer organization. Connectivity to over 2,400 national, regional, and government payers.

Emdeon Vision for Claim Management

Emdeon Vision for Claim Management is a web-based application that gives payers visibility into the claim life-cycle from submission to Emdeon through payer adjudication. Integrated into the Emdeon suite of solutions, Vision for Claim Management offers on-line images of paper claims, end-to-end claim tracking and claim status, as well as, a variety of summary and detail claim reports.

Search capabilities enable payers to research claim information quickly based on key data elements such as: provider organization, insured ID, insured name, combination of provider and insured, date of service or date submitted. Tracking and summary functions enable payers to analyze numerous aspects of claim data including claim volumes, submissions by provider, rejection rates and more.

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