Claims Management Software System

Replace the traditional "bill in one system, correct claims in another system" approach with a fully automated, workflow-driven process.

In the typical workflow process, many tasks that make it into the collections cycle do not belong there often resulting in unnecessary and costly delays in the Accounts Receivable process.

InsightCS® Claims Management allows healthcare service providers to resolve many of these tasks upfront with integrated, automated claims scrubbing. Payer acknowledgements are also fully integrated meaning the collections cycle doesn't begin until the claim has been received. This feature eliminates the potential of having both Billing and Collections staff members working on the same accounts simultaneously.

SEE THE INSIGHTCS® CLAIMS APPROACH VS. THE TRADITIONAL APPROACH

Through innovative features, any failed claims edits and rejections are routed back to the InsightCS® Billing solution, where they only need to be addressed and corrected just once.

Faster, more complete revenue recognition
Significant increase in productivity
Dramatic reduction in claims submission processing fees
Clean claims rate at or near 100%
Ability to address claims errors and omissions ONCE without repeated instances
More realistic AR days calculations - No lag time between bill drop and initial claims processing
Reassign and/or reduce claims processing staff

In addition, InsightCS® Claims Management provides a complete suite of Patient Collection solutions including:

Virtual Credit/Debit Card and Check Processing from multiple points of service
Customized Patient Portal for online account management, bill pay, and automated payment plans
Patient Invoice e-Delivery and Patient Lockbox services