Highlights : About expEDIum Claims Portal
Product Details
Features
Claim resolution tracking
Co-pay & deductible tracking
Claim file documentation
Authorization/referral management
Claims validation engine
Customizable validation rules
Patient demographics capture & lookup
Manual claim creation
Direct claims submission
Multiple healthcare file format support
Batch file upload
Provider side claim scrubbing
Automated provider data population
Manual claim adjudication
Customizable authorization/referral screens
Automated download of payer side reports
Benefits
Multiple healthcare file formats are supported, including NSF, TNSF, HCFA CSV, HCFA Print Image, 837P, HL7, and XML, for batch import and upload of claims.
A range of payer-side reports, including TA1, 997, 277U, 824, 835, 864, and non-standard reports can be downloaded automatically.
Provider data from account setup can be populated automatically to create complete claims, and many fields in manual claim creation screens are auto-filled.
Prior-authorization requests can be sent directly to providers, and responses can be viewed.
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