ClaimRev

Native Woman Owned Medical
Claims Clearinghouse

Revolutionize your claims management process!

Navigating the complex and time-consuming process of submitting claims, only to face repeated rejections and bureaucratic hurdles, can be a maddeningly frustrating experience for healthcare providers, leaving them feeling like they are stuck in an endless loop of paperwork and red tape.

Streamline

Our user-friendly interface supports claim review and editing of Professional, Institutional, and Dental.  Changes can be made to the claim and resubmitted all through the one stop portal. 

Enhanced claim visibility

Claim processing is done in near real-time with ERA (electronic remittance advice) being attached to the claim viewable as a human-readable or a downloaded pdf.

Optimize

We can offer custom reports that can illustrate key metrics, trends, and performance indicators to increase MIPS (Merit-Based Incentive Payment System) for reimbursements.   

Our Smart Claims Editor

» Accuracy and Completeness Guaranteed:

Our claims editor accesses all necessary fields to ensure accuracy and completeness of claims.

» Time-Saving Customization:

Our flexible rules engine enables you to customize data in claims based on specific criteria, saving you time and effort.

» Automatic Description Addition:

The engine can automatically add descriptions to procedure codes as needed, streamlining the process and minimizing errors.

» Corrected Claims Support:

We support corrected claims, making the process smoother and more efficient for you.

» Workflow Module:
Our easy-to-use workflow module allows you to create your own claim statuses and track progress, facilitating collaboration and efficiency among your team.

» Assign Tasks with Ease:

Assign tasks to team members with ease, ensuring timely completion of claims and optimizing your claims process.


Discover the power of our innovative claims editor and workflow module today and revolutionize your claims processing experience!

Enhanced Claim Visibility

Easily upload your 5010 837P, 837I, or 837D through our user-friendly web portal or client connect.

Experience the power of: 

  • Near real-time cleaning and validation of your claims
  • Within minutes of uploading, our system will identify and highlight any issues, ensuring prompt resolution
timely results
fast & Efficient
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Optimize

We understand that maximizing revenue potential for your medical billing business requires more than just accurate claims submission. That’s why we offer a suite of advanced analytics and revenue tools designed to help you optimize every step of the way.

Analytics
Revenue Tools

customer Reviews Speak Volumes

 customer relationships are at the heart of everything we do!