Primary Drivers
Eligibility (270/271)
- Minimize the need for phone calls to individual health plans
- Reduce operational cost to verify coverage
- Increase productivity and efficiency
- Reduce rejected claims; collection/billing costs and bad debt
- Leverage CORE/CAQH compliant health plan services
- Lower write-offs and turnaround time from payers
Referrals & Authorization (278)
- Improve authorization accuracy and timeliness
- Reduce administrative resources spent with referrals and authorizations
- Minimize the need for phone calls and individual inquiries
- Increase productivity and efficiency
- Lower write-offs and turnaround time from payers requirements.
- Decrease errors due to poor technology and communication
Claim Status & Inquiry (276/277)
- Reduce operational cost for tracking down claim status
- Minimize the need for phone calls and individual inquiries
- Decrease duplicate claim submissions
- Leverage CORE/CAQH compliant health plan services
- Increase productivity and efficiency
- Lower operational cost and improve efficiency