Claim Manager is the core module of EDIinsight that improves the entire billing and collections process from claim submission to workflow management. Claim Manager loads your claims, automatically checks them for errors, and shows which claims are valid and which need to be corrected.
Clean up your coding with our Clinical Claim Scrubber and significantly decrease rejections and denials; realize more accurate, optimal reimbursement; and reduce AR days.
Task Manager is an integrated part of EDIinsight that allows a user to create tasks. These tasks will assist your provider customers in creating a product workflow in EDIinsight, ensuring followup on important EDI transactions.
Nothing slows your revenue cycle like dealing with paper correspondence from payers. Yet, most providers currently receive just 60 to 80% of remittances electronically. Thankfully, EDIinsight 100% ERA Solution offers you industry-exclusive functionality that removes paper EOBs from the equation completely.
ERA Denial Manager is a powerful tool designed to track, manage and report data trends for all incoming ERAs. Through the ERA Denial Manager interface, providers are able to view transactions denied for a specific group or reason code, print an EOB for a specific claim, assign denials to staff for follow-up, and view the detail payment and allowed amounts for a billed charge.
As patients continue to be responsible for a larger portion of their medical bills, your practice’s ability to determine insurance benefit details in advance has never been more important. EDIinsight Eligibility lets you know exactly how much you need to collect from patients, or if you need to have them sign an Advance Beneficiary Notice (ABN) during their office visit.