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XClaim Suite:
Client Results >
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XClaim:
Remittance Management
XactiMed improves both workflow and cash flow with a complete payment system that includes electronic remittance processing, remittance warehousing, automated cash posting, automated bill generation for secondary payers as well as contract variance and payer reports.
The system captures, stores and integrates data associated with HIPAA-mandated 835 Electronic Remittance Advice (ERA) transactions, providing online, real-time ERA information for immediate access to all third-party payment information. Managers are able to monitor payer payment cycle practices.
Automated matching of explanation-of-benefit (EOB) information to the original claim billed creates a complete record of receivable information for follow-up and analysis as needed. Secondary claims, automatically generated using the associated EOB information, are placed in the biller's work queue with an electronic EOB. This eliminates the manual effort and delays typically associated with secondary claims submission.
Contractual variance reporting makes it easy to identify underpayments. XactiMed compares the payment received to the expected payment amount calculated by your contract management system. When a variance is identified, it's processed and handled according to client-specified parameters. All variances are then reported for follow-up and resolution.
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