• Overview
  • Benefits

ClaimRemedi Overview

 

Our products and services focus on the delivery of fast, easy, and complete solutions for gaining control of the complete Claim Lifecycle process.

We offer robust and flexible web based services for electronic eligibility verification, claim submission to all payers, claim scrubbing, on-line editing, claim tracking, and extensive tools and reports for work flow management and analysis.

To find out more about ClaimRemedi’s solutions—point your mouse on any part of the circle below—or select from the Solutions For menu on the left.

 

Our Core Values

Our Expertise

Our core competency is our knowledge of the X12 transaction set, payer connectivity, understanding what the payers—many with their own interpretation of X12 standards—will accept, and getting claims paid.

Fast, Easy & Complete

Our web based solutions are designed with the end user in mind. From enrollment to eligibility verification through to claim adjudication —along with many embedded work flow management and reporting tools—our intuitive user interfaces are easy to learn and understand—and provide fast processing of all your transactions.

Support

We strive to earn your business every day through responsive and knowledgeable customer support. Our success is based on your satisfaction with every encounter—whether you are a long term customer or a prospective customer making a first time inquiry to our Sales Division.

Customization

Our solutions are designed so they can be customized to meet your requirements. We understand that our customers and business partners have varying needs.

 

Benefits


Eligibility verification that provides fast and easy access to payer eligibility and benefit information:

  • Reduce registration errors and lack of insurance verification.
  • Verify that subscriber information is correct and complete before claims are submitted.
  • Establish co-payment and coinsurance amounts.

Unparalleled payer specific claims scrubbing and on-line editing features that significantly reduce the number of denied claims:

  • Accelerate cash flow by getting more claims paid on first submission.
  • Reduce overhead costs associated with having to rework and resubmit claims.
  • Reduce total claim submissions.

On-line claim management and tracking that allows you to manage claims in process:

  • Quickly identify and assign newly rejected, suspended and denied claims to your staff for follow-up.
  • Provide proof of timely filing.
  • Monitor follow-up by your billing staff.

An abundance of easy-to-use analytical tools and reports that give you ownership of your claims processing—instead of the other way around:

  • Train your staff on the most common reasons for rejections/denials.
  • Manage your denials.
  • Find and quantify any information about the claim side of your business.
  • Measure your staff productivity.
  • Compare reimbursements and denials by payer.
  • Generate audits itemizing all error corrections, payer responses, assignments and notes—the who, what and when—for either a single claim or a group of claims.