With healthcare management and legislative changes across the USA, manual claims management is becoming an increasingly tedious operation, where errors and delays can lead to expensive claim denials.
When a healthcare revenue management company faced increasing claims denials due to poor filing processes, Apexon helped them meet revenue targets with an automation solution.
Having to integrate automation into systems that dealt with multiple, disparate payer websites presented its own set of challenges. Additionally, the client needed an automated way to check claims status on their payer portal and take action on the basis of the member’s historical transactions.
Using a combination of RescueNet Billing, Payer Logic, and our proprietary automation frameworks, Apexon was able to,
In summary, the customer’s claims filing process was rapidly automated enabling them to save costs and deploy more accurate services.
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