Key Features
The Edifecs Claims Correction solution includes the following key system features.
Claims Correction Work Queue
The claims correction interface is an efficient work area for
both provider and payer business users to mange the ongoing
claims correction process, on a personalized basis. Progress
during the claims correction process can be viewed easily
and managed by both the provider and payer users.
Business Normalized Interface
The interface for correction presents claims data in an
efficient business-focused format that allows for easy
navigation to all claims components.
Simplified Claim Error Identification
Visual cues in the interface help the user identify errors
and easily navigate to them for correction.
Facilitated Claim Correction
The interface provides a number of pick lists and prompts
to aid the user in quick correction of errors in the claims
data elements.
Claims Correction Reporting
Quick reports embedded in the correction interface allow
the user to monitor progress, view a history of correction
activity, and print out details of corrected submitted claims.
New Transaction Generation with no
Data Loss
At the heart of Edifecs Claims Correction, the Edifecs Healthcare
Transaction Repository stores 100% of the submitted EDI
data to assure that no data is lost in the correction process
or in reconstructing a valid EDI transaction from the reported
data.
Storage and Retrieval of Original
Unaltered Transactions
Correlation identifiers link all original transmission and
claims transactions to the corrected transmission and claims
transactions so that there is always an audit trail to the
unaltered claims data.  |
