ClaimRemedi offers a wide variety of solutions to meet our customers needs.

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.

 

Over 25% of all healthcare insurance claims are denied when first presented for payment. Effectively, a fourth of provider “invoices” are returned unpaid. No other industry faces a collection problem of this magnitude.

The choke-hold on provider revenue doesn’t stop there, but is further aggravated by:

  • 40% of denied claims are never resubmitted.
  • Increased staff time to rework denied claims.
  • Ever changing billing requirements.

Our Mission & Vision

ClaimRemedi’s mission is to partner with our customers by offering a suite of value added services that will enable them to:

  • Accelerate cash flow by getting more claims paid on first submission.
  • Manage by exception—quickly identify claims that need attention, along with the necessary work management tools to assign and follow-up on those claims.
  • Train staff on the most common reasons for claim denials—for reducing future claim denials.
  • Quantify all aspects of the claim side of their business.

Our solutions are all web based, taking advantage of high speed internet connectivity—and are immediately deployed without installation. We are also committed to providing flexible user interface technology that allows our business partners to integrate our services within their software.

Our Commitment to Customer Service

The most important link in any business partnership is the continuing commitment to support one another. ClaimRemedi appreciates the ongoing cost of creating and maintaining a successful partnership. We realize that we have to earn our partners’ business everyday—with our service, our support and our product development:

  • When our partners have a problem—we take ownership of that problem. When our partners have a problem with a payer—we work with both them and the payer. Our support groups are staffed with experienced and knowledgeable individuals that understand billing.
  • Our support is responsive. We don’t let problems linger and mushroom.
  • The nature of our business and that of our partners is one of constant evolvement. We work with our partners to better understand their business requirements and goals. Our product development efforts are always focused on enhancing our services to meet the needs of our partners.