ClaimExchange
Overview and Benefits

Overview and Benefits

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ClaimExchange Brochure
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ClaimExchange is a software solution designed to maximize productivity while eliminating the complexity that HIPAA has added to the claims administration process. It works in conjunction with your existing claims adjudication system, leveraging your investment in off-line, batch transaction processing.


ClaimExchange offers:

  • Unlimited electronic trading partners and file types
  • An audit trail of all processes
  • Warnings if expected files are not received
  • The ability to view or print claim facsimiles
  • The creation of electronic remittance advice (835)
  • Proprietary or 997 functional acknowledgement
  • Real-time inquiry into eligibility, claim status and authorizations
  • Rapid Data Entry of HCFA1500, Superbill, UB92 and ADA2000 paper claims
  • Communication with your existing batch adjudication system
  • Re-pricing relationships with multiple PPO’s within a single interface
  • Warehousing of data for reporting

ClaimExchange is a middleware solution that allows you to become HIPAA compliant, dramatically improve service and reduce the costs associated with processing claims. All this with faster implementation, minimal disruption, and without the expense of upgrading existing systems.


More Information

For more information please contact us.