2260 Apollo Way, Suite 103
Santa Rosa, CA  95407
Phone: (800) 763-8484

Highlights & Benefits to Vendor Partners

Why do our vendor partners continue to turn to us for their customers' claims processing needs?

You want your customers’ claims paid — and paid the first time around — because that also impacts your revenue stream and improves your customer satisfaction levels. You also want to focus your staff resources on your own products — and not on claims or payer problems. You need a feature rich claims processing solution that meets all the needs of your customer base — one that can be tailored to work within your application environment without having to change your own procedures or waste valuable programming time. Finally, you want a claims processing partner that is responsive to your needs and your growth strategy.

ClaimRemedi’s flexible web based solution offers your provider customers fast processing of all their claims, is easy to learn and use — and provides you with a complete end-to-end claim Lifecycle solution — from enrollment to eligibility verification through to claim adjudication.

A significant reduction in the number of denied claims…

with our unparalleled payer specific claims scrubbing and on-line editing features. Other clearinghouses perform just enough entry-level edits to meet the minimum requirements for passing claims onto payers. They don’t check for most of the billing errors that payers will find and deny claims for — once claims are moved into payer adjudication systems. ClaimRemedi actually scrubs claims much like the payer back-end processing systems — except up front, at the time claims are submitted. A powerful “point and click” edit feature allows your customers to quickly locate and correct any errors before claims are submitted.

Customized claim and payer-specific solutions to meet your needs…

by Reverse-Engineering Payer Rejections and Denials. If your billing module is unable to correctly report  payer specific required information on claims, we will work with you to implement solutions on our end to get your customers' claims paid. We also offer a desktop 837 viewer that your programming staff can use to quickly identify both data element content and X12 syntax errors.

On-line claim management and tracking…

that allows your customers to quickly find and retrieve any claim or group of claims — from any computer that has web access. Provide proof of timely filing. Identify and assign newly rejected, suspended and denied claims for follow-up. Add follow-up notes to claims history as needed.

An abundance of easy-to-use tools and reports…

can be run from any computer that has web access. Why spend hours programming the reports you or your customers need? Any information about the claim side of your business or that of your customers — revenue, claims processed, comparisons of payer reimbursements by service, rejections and denials, the most common reasons for claim errors, audit trails — is always right at your fingertips. This information is also readily available to your customers for their own practices, including reports for allowing them to measure staff productivity.

Our excellent customer support…

is there when issues occur. When you or your customers have a problem, there is nothing more frustrating than not getting your calls returned or having to deal with someone that doesn’t understand the problem. We don’t let supports issues fall into bottomless pits. We pride ourselves in the responsiveness, experience and knowledge of our support staff. We can work directly with either your customers, with you, or both.