eSolutions' claim processing, scrubbing, edits, tracking and management offerings are unparalleled in the industry. All of these services are included in our Claims Portfolio solution.
With eSolutions’ electronic claim processing, you get paid quickly and accurately. We offer more than 4,500 connections for professional, institutional, dental, and worker compensation claims–and since we submit 99% of claims electronically, you can count on faster processing and higher accuracy. As with our entire product suite, the electronic claim processing solution integrates smoothly with most practice management systems.
Our industry best high-tech claim scrubbing service is included in your cost, so you get unlimited use of our scrubbing technology. Payer rules, both documented and undocumented, are stored in a comprehensive rules engine that is maintained and continually updated by staff knowledgeable in both billing and ANSI claim submission. Rules are payer specific and date sensitive and can be added or changed without programming.
With real-time claim edits, this system helps you easily fix the errors uncovered during the claim scrubbing process, ultimately helping reduce payer denials. It generates easy-to-understand error messages so you can address them. You can correct your claims with more than 1 million reliable and exhaustive integrated real-time claim edits. eSolutions’ claim tracking and management offering allows you to identify and track rejected or denied claims and provide proof of timely filing to payers. It even automatically monitors the completion of follow-up tasks.