Software

Claims Automation

A state-of-the-art solution for payers and TPAs that want to outsource full or partial mailroom operations — including scanning, imaging and data capture — in order to streamline processes and focus on core business competencies.

Improve Accuracy and Productivity, Reduce Costs

  • Claims automation

    • Automates mail sorting and scanning processes with paper-to-EDI conversion, dramatically improving accuracy and productivity, while at the same time reducing expenses.
    • Blends mailroom functions with world-class scanning and imaging tools, drastically reducing manual intervention and human error at the earliest point of entry into payers' organizations.
    • Provides high-quality data and fewer pended claims due to data validation and editing tools that perform provider/member matching, eligibility verification and more. Data is verified, scrubbed and edited.
  • Electronic image repository

    • Makes real-time viewing and document retrieval fast and easy, as well as eliminates the need to maintain a paper claim inventory. Compatible with all claim types and attachments.
    • Features reliable sorting and scanning, easy image search functionality, as well as comprehensive customer reporting. Supports auto-adjudication.

Reduce Processing Costs

  • Reduce human error by using state-of-the-art mailroom operations and industry leading scanning and data capture technology.

  • Unite mailroom functions with world-class scanning and imaging tools, decreasing manual intervention at the earliest point of entry into payers’ organizations.
     
  • Automate mail sorting and scanning processes with paper-to-EDI conversion to dramatically improve accuracy and productivity, while at the same time reducing expenses.

  • Get high-quality data and fewer pended claims as the result of data validation and editing tools that perform provider/member matching, eligibility verification and more.

  • Retrieve documents fast and easy, as well as eliminate the need to maintain a paper claim inventory, with the Change Healthcare electronic image repository.

  • Improve accuracy and productivity with fewer full-time employees, while significantly reducing administrative costs and capital investment in technology and equipment.
Resources and Brochures
  • Fact Sheet
    Driving Success for Payers by Streamlining the Claims Process

    Managing paper claims is expensive, resource intensive, and it inhibits the adjudication process. The Change Healthcare Claims Automation solution helps increase efficiencies by capturing paper claim data and transferring it to an electronic format, streamlining the entire claims process.

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