Automate, manage and extend clinical, pharmacy and administrative data exchangeRead More
Transaction Corrections is a powerful tool to reduce the cost of compliance and increase automation rates. Reduce manual effort and comply with CORE Operating Rules. Enable corrections to many transactions (834, 835, and 837), for example, out-of-balance conditions and inbound enrollment files from exchanges. Complete set of workflow tools include tasks, queues, bulk updates, review, approval and escalation processes, and security features.
Transaction Management Archive reduces the cost of record keeping and increases flexibility to quickly respond to data requests. Enable non-technical users to quickly find records to support audit inquiries or discovery requests from legal teams. Enables as much as 11 years (customer defined) of storage with powerful structured and unstructured search functions.
Transaction Management EDI Reports provide the trends and analysis tools to increase operation efficiency and improve partner/provider relationships. Use the dashboards to monitor volume and rejection rates and then, compare to historical baselines. Monitor claim inventory and reimbursement. Improve provider collaboration and outreach with scorecards, reports and analysis tools.
Organize all partner interactions into one integrated repository, then activate insight through dashboards and status tracking at summary and detailed levels.
Manage and control partner profiles and connectivity preferences while monitoring performance and sharing results.
Leverage industry-leading member and family views of correlated clinical and claims data to visually explore encounters, episodes of care and claims.