Smart Front EndSM is a unique package of pre-adjudication technology products and services, which markedly enhances auto-adjudication rates. Designed to be customized based on need, our Smart Front EndSM services can be utilized individually, in combination or in total.
Key Benefits:
- Increases customer productivity
- Allows for real-time monitoring
- Controls document flow and activity
- Document Receipt - Provides functionality for complete customized mailroom services, imaging and EDI.
- Document Control - Provides a real time workflow monitor to all document processing which includes customer-defined triggers to maintain client-defined objectives.
- Data Conversion - Delivers OCR and manual conversion through proprietary systems that can be custom configured based on client specifications.
- Data Validation - Addresses coverage eligibility, postal standardization, SIC and client-defined data fields.
- Claims Matching - Provides a robust matching platform for network routing and claims pricing.
- Claims Edits - Utilizes complex medical rules-based technology increasing auto-adjudication rates and benefit savings as well as improving workflow efficiency.
- Claims Routing - Provides a flexible platform for transmitting claims to networks and other client-defined destinations.
- Claims Pricing - Offers a configurable Healthaxis® claim-pricing engine that reduces cost and turnaround time.
*For optimum performance combine Smart Front EndSM with Provider Management.
