ELIGIBILITY-Online™
If you have ever overlooked securing patient eligibility or submitted incomplete eligibility claims, you've experienced rejected claims. Our automated eligibility certification process provides healthcare providers with real-time, HIPAA-compliant insurance eligibility verification to the largest EDI VANs in the U.S. as well as a continually growing list of health insurers.
Features:
- 5-second turnaround time from submission to response.
- Batch eligibility available by utilizing standard HIPAA-approved 270/271 transactions.
- Works with scheduling software in XML, flat file or text file formats.
- Correct payer verification for patient.
Real Time Response for Submitted Claims
Submitting incomplete or inaccurate claims can slow revenue to a snail's pace. GHN's clients enjoy a 99.97 percent average first-time acceptance rate on all submitted claims reducing drastically the costly days in accounts receivable. CLAIMS-Online is a workflow-oriented, HIPAA-compliant claims management system. The proprietary, rules-based enterprise-class architecture defines and aligns all billing data (e.g. patient demographics, diagnosis, treatments, charges, taxonomy and situation data elements) according to the terms and requirements specified by the healthcare provider, payer and CMS organizations.
Image Attachment
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Single or Batch Transmission
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Compatible Practice Management Software
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Upgrades Included
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Tech Support Included
Yes
List Price
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Product Description
GHN is the simplest and fastest claims-to-cash solution, anywhere. As the technology leader in providing the only comprehensive, 360-degree Revenue Cycle Management (RCM) for the healthcare industry, GHN offers real-time, end-to-end, direct-to-payer processing of healthcare claims transactions from insurance eligibility and claims submission to remittance and payment. Our intuitive enterprise-class architecture features comprehensive data scrubbing, editing, status tracking, reporting, and boardroom quality executive dashboard to assist our clients in completing a continuum of healthcare claims transactions.
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