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Manages EOBs and payments received from payers and distribution of EOBs and payments to providers. Manages claim commission payments. Supports extensive accounting and financial reports.
Provides reports by payer, provider or claim status. The report generator is used by the providers billing staff, clearinghouse operators, and administrators. It queries the data store and generates several reports on demand. For example, count of valid claims, claims with errors, batch status, and claim totals. In addition, it allows users to retrieve particular claims so that they can be viewed, updated and resubmitted. Reports can be accessed based on user authority level. For example, the Clearing-house operator can see submitted claims for all providers whereas a provider can only access his/her claims.
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