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Average Ratings 0 Ratings
Description
Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.
Description
The process of posting insurance payments exemplifies the 80/20 principle, where a mere 20% of payments, typically those derived from paper EOBs, can consume a staggering 80% or more of the overall workload. However, the introduction of POWEReob changes the game entirely. This service merges free software with a pay-per-transaction model to transform the paper EOBs you still receive from various payers into electronic remittance files that comply with ANSI 835 or NSF formats. These electronic files facilitate automated payment posting to your practice management system, streamline electronic secondary claims billing, and enhance denials management. Importantly, POWEReob is compatible with any practice management software that accepts remittance files from third-party sources, not just those linked to a specific clearinghouse. For practices without such compatibility, we can collaborate with your management system or clearinghouse to ensure you reap the benefits of fully electronic remittances, ultimately optimizing efficiency and reducing labor costs in the payment posting process. By leveraging this innovative solution, practices can significantly enhance their operational workflows and focus more on patient care rather than administrative tasks.
API Access
Has API
No
API Access
Has API
No
Integrations
Inovalon Provider Cloud
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Inovalon
Founded
1998
Country
United States
Website
www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/
Vendor Details
Company Name
Unicomp Corp. of America
Founded
1979
Country
United States
Website
www.ucoa.com/products-services/POWEReob/
Product Features
Insurance Claims Management
CRM
No
Claims tracking
No
Customer portal
No
Document management
No
EDI data exchange integrations
No
Electronic claims
No
Fraud management
No
Reporting
No
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
No
Co-Pay & Deductible Tracking
No
Compliance Management
No
Customer Management
No
Electronic Claims
No
Forms Management
No
Paper-Based Claims
No
Payor Management
No
Policy Administration
No