Claims Reconciliation

Leverage Reconciliation Analytics to Uncover Missing Revenue

Easily compare billed charges sent into payer to paid claims:

  • Compare claims or billed charges sent to payer vs claims paid.
  • Isolate gaps in data that represent missing reimbursements (i.e. 10 claim lines went out to payer; only 5 come back paid).
  • Filter data by payer, procedure code, CARC descriptions, RARC descriptions, date range and other variables.
  • View data using built-in use case tabs: Full Denial, Partial Denial, or Incomplete Adjudication.

 

Benefits

  • Save time tracking down missing claim lines.
  • Capture revenue quickly by identifying gaps in processes.
  • Arm your organization with useful tools and information to resolve claims disputes.
  • Quickly resolve issues using built-in use cases.
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