Rapid reimbursement with electronic claims management and eligibility verification

RevConnect

With RevConnect Clearinghouse, you can manage your electronic claims and increase your clean claim submission rate with one easy-to-use tool. RevConnect claims management provides the ability to reconcile submitted claims with payer responses and electronic remittances, providing complete transparency into the claim reimbursement and reconciliation process. 

Beyond providing a centralized location electronic claims management, you can also verify eligibility requirements for the services you provide. With more than 1,000 payer connections established, you can verify the care you provide will be covered prior to service.

 

Electronic claims management made simple

Submit cleaner claims, perform real-time edits, verify eligibility and more.

AT A GLANCE

Key benefits

  • Increased clean claim submission
  • Faster claim adjudication
  • Comprehensive batch and claim reconciliation

Key features

  • Automatic claim error identification and the ability to perform real-time edits of 837/835 files
  • Reports by payer, provider or status
  • Process batch 270/271 eligibility files and single patient entry for on-demand verifications

Clients

For RevConnect

Autism

Our autism EHR software helps deliver strengths-focused solutions for your specialized programs that serve individuals diagnosed with autism. 

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Behavioral Health

Following an individual’s progress is critical to delivering quality care. We know this, so we'll help you make the most of your resources.

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Child and Family Services

Simplify administrative tasks and coordination of services through our child and family case management software while allowing your staff to document care across settings. 

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Community-based Outpatient Providers

Discover the outpatient management software, solutions and services that help outpatient and community-based providers drive the coordination of care among multiple care settings and manage daily clinical tasks through role-based workflows.

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Inpatient Psychiatric Facilities

From intake to discharge to after care, our inpatient EHR technology gives you access to the information you need to ensure smooth transitions and deliver whole-person care.

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Integrated Care

Our integrated care systems promote whole-person care by making it easy to coordinate with Federally Qualified Health Centers (FQHC) and process claims efficiently through Medicare and Medicaid.

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Intellectual and Developmental Disabilities

Our I/DD case management software is designed for person-centered care, empowering you to enrich the lives of those with intellectual or developmental disabilities.

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Life Plan Communities

Our CCRC software is optimized specifically for life plan community workflows. It supports advanced connectivity to bridge gaps in information, so you can create a single, integrated resident record across all senior living care settings, including home care, hospice, skilled nursing, assisted living, independent living, memory care and adult day care.

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Medication-Assisted Treatment

Our medication-assisted treatment software will help you centralize care delivery, so you can help individuals on their road to recovery.

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Public Health

Our integrated, web-based public health software advances your public health goals. We help the state and local health community connect to the larger care community through innovative solutions that allow you to focus on delivering integrated whole-person care state-wide and county-wide. 

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Senior Living Communities

Our long-term care software is optimized specifically to help you coordinate and manage care, connect with partners in the community, and manage populations to watch for risk among individuals in your senior living communities. 

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Skilled Nursing Facilities

Our skilled nursing software helps you fill gaps in patient information to streamline the pre-admission process, increase the accuracy of initial assessments and simplify compliance with CMS requirements.

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State and County

Our technology solutions and services support the full range of programs offered by state and county health and human services organizations. The result: better outcomes and improved operational, clinical and financial performances.

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Revenue Cycle Management

Comprehensive and flexible healthcare revenue cycle management services and solutions to help you reduce costs and improve your bottom line.

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Demo: RevConnect Clearinghouse

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