HealthFusion's Claims AngelTM Program takes claims management to the next level.
HealthFusion's Claims AngelTM Program is constantly monitoring the system for you and sends your office a customized email for each payer rejection that can be mapped back to a specific claim. No need to wait until your next log in to the system to learn about a claim rejection. An easy-to-read email with a link to a help screen on how to fix the rejection will be sitting in your Inbox as reminder to manage the rejection real-time!
With HealthFusion's Claim Status Tracker, you can track your claim just like you would a FedEx® package.
Know where any claim is in the submission process and identify any claims that were created as a result of the revision of a payer-rejected claim. No more hunting down claims – Just track them with HealthFusion!
The old adage is, "If it can't be measured, it can't be managed." We agree!
HealthFusion's Clearinghouse takes claim management reporting to the next level. Most clearinghouses simply present file-level payer reports "as is" in the standard, machine-readable format. Those reports work great for machines (but not for humans) and are confusing and cannot be customized. HealthFusion makes human readable reports easy to prepare, customize, and use.
HealthFusion works very hard to prevent payer rejections by
integrating payer rules, eligibility verification, and more directly into our software interface.
Payers do not always make it easy on providers, and they rarely supply all of their claim edits to your office or to HealthFusion's Clearinghouse. We update our software weekly to “keep up” with new payer rules, and we translate each payer message into an easy-to-read category so that payer rejections can be understood and reported on. In HealthFusion's experience, if the claim has an eligible patient, and the provider is identified correctly (by name and NPI number), your practice will almost never get a payer rejection.
Waiting is not an option.
The HealthFusion system gives the user feedback as soon as the claim is uploaded and processed by a payer. The user is prompted to edit claims that do not meet HIPAA or payer guidelines in "real-time" – within minutes of your claim upload, the claim is ready to be batched and transmitted to the payer.
Leverage HealthFusion's Clearinghouse to transmit and manage electronic claims submissions to thousands of payers, and get real-time status with HealthFusion's eligibility verification and claim status tracking. Upload, download and administer Electronic EOB® / ERAs and monitor all Clearinghouse services with graphical, downloadable, customizable reports. HIPAA-compliant with EHNAC accreditation.
HealthFusion is also a certified Phase 1 CAQH CORE clearinghouse.
