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ClaimsConnect
Transmit claims, receive electronic remittance, and send
electronic patient statements quickly and securely to multiple
payers through a single process and service
Managing the submission of
commercial claims to multiple payers
can be time consuming and inefficient.
With paper-based claims submission,
payment can be delayed and there is
a high potential for errors resulting
in a loss of revenue. If you try to
submit electronic claims to each payer
individually, it is likely that you will
have to manage different versions of
the 837 claim format and maintain a
multitude of connections.
The Netsmart ClaimsConnect Electronic
Data Interchange (EDI) service provides
a HIPAA-compliant way to easily
transmit claims, receive electronic
remittance, and send statements
quickly and securely.
Integrated with Netsmart’s Avatar,
CMHC/MIS, and Insight enterprise
applications, ClaimsConnect offers
improved efficiencies and reporting
throughout the billing process.
Submitting claims to multiple payers
can be a painstaking and time
consuming process, especially when
you consider the varying formatting
requirements from payer to payer. With
ClaimsConnect, you can create all of
your claims in a single, standard 837
format, and let ClaimsConnect format
and route the claims to each
payer. Similarly, ClaimsConnect
receives electronic remittance
files from all of your payers
in a single environment and
facilitates consistent cash
application. ClaimsConnect
provides a familiar user interface
and user-friendly reports to further
enhance your billing process.
Electronic Patient Billing
When connected through your
Netsmart practice management
system, the ClaimsConnect
Statements service provides the
tools and the connectivity needed
to simplify your billing processes,
increasing profitability and freeing
your time to focus on enhancing
your cash collections in other areas.
ClaimsConnect Statements enables
you to:
- Improve operating efficiency
and profitability
- Reduce statement processing
and tracking costs
- Decrease payment processing time\
- Increase patient satisfaction
Electronic Claims
Management
ClaimsConnect Claims provides the
reliability and connectivity needed
to simplify your claims management
processes, help your organization
remain HIPAA compliant and deliver
improved cash flow. ClaimsConnect
Claims ensures the data submitted
is accurate and complete, resulting
in fewer rejected claims, faster
turnaround and improved cash flow.
The ClaimsConnect Claims:
- Provides claim and payer edits
in an accepted/rejected report
- Provides quick and easy
access to payment status
- Ensures the latest payer changes
are implemented quickly
Electronic Remittance Advice
(ERA)
Reviewing and posting insurance
payments are some of the most
important, yet tedious tasks for any
organization. The Explanation of
Benefits (EOB) manual posting process
is prone to error and leaves little
time or energy to examine the EOB
for systemic problems. Furthermore,
any delays in posting add time to
your Cash Cycle, which costs you
even more money. ClaimsConnect
Remit provides your practice with the
tools needed to perform these tasks
electronically and eliminate the waste
and errors impacting your revenue.
ClaimsConnect Remit enables you to:
- Expedite payments
- Increase cash flow
- Reduce errors
- Have more time for EOB analysis
Connected Care
The Netsmart ClaimsConnect solution
is part of Netsmart’s Connected Care
approach to enabling its customers
to deliver high quality services
to their consumers. Connected
Care is sharing information inside
your organization, with other care
providers and with consumers
themselves. Connected Care goes
beyond traditional Electronic Health
Record solutions to ensure clinical
information is integrated and available
across all points of care to ensure the
highest quality of care. Netsmart’s
Connect suite of applications work
across Netsmart’s major enterprise
product lines to provide the
foundation for key components of
Connected Care, and includes:
This cross-product approach
demonstrates the breadth and
integration of the Netsmart product
family and Netsmart’s commitment to
helping its customers maximize the
investment made in their software. |
