Guarantee letters and claims, followed up against the episode
Guarantee letters, claim submission and the follow-up when a claim is queried or short-paid are tracked against the episode the claim belongs to.
Guarantee letters
A guarantee letter is held against the episode it belongs to, the same episode as the deposit and the bill.
Panel and insurer submission
Claims to panels and insurers are submitted against the episode they belong to.
Follow-up on queried and short-paid claims
Most of what a provider loses on claims is not rejected outright: it is queried, short-paid or left sitting. Each query and short payment is followed up against the episode the claim belongs to.
Where a claim has reached
The desk can say where a guarantee letter or a claim has reached without calling the insurer, while the patient is still at the counter.
Ageing claims, before write-off
Finance sees which claims are queried, short-paid or simply sitting, in time to act, rather than finding them during a write-off review.
See it at your own front desk
Send us the provider, the number of sites and the systems in use today. An engineer replies with a rollout plan, a migration plan and a proposal.