Maximize Your Revenue with Customized Analytics: 8 Essential Reports for Healthcare Providers
In the competitive landscape of healthcare, maintaining financial stability is crucial. One of the most effective tools for achieving...
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Tailored Medical Claims Processing
As a Cherokee Native woman, I founded ClaimRev alongside my brilliant husband, who serves as our CTO. We take immense pride in offering tailored solutions to reduce claim denial rates and optimize revenue for healthcare providers, especially those serving Tribal communities.
Our user-friendly software ensures seamless claim processing and provides unmatched analytics for enhanced operational efficiency.
At ClaimRev, we believe in the power of personal connection and timely support. We value your time, which is why we provide a single point of contact to eliminate long hold times and impersonal call centers. Your account manage can ensure your request is fullfilled quickly!
Revolutionize Claims Processing With Our Custom Rules Engine Which Decreases Claim Denials, Boosts Operational Efficiency, And Maximizes Reimbursements.
The innovative EDI parsing software lets you say goodbye to file rejections and hello to more approved claims. Our state-of-the-art technology is built to attempt to get all claims out of the file, regardless of whether the file meets EDI standards. This means that even if one claim in your file is missing a subscriber, SharpClaim™ will still accept 99 of the other claims that are clean, allowing you to focus on fixing the one issue rather than resending the entire file.
In addition, SharpClaim™ provides detailed error messages for any claims that require revision, making it easy for you to identify and resolve issues quickly and easily
If our system determines that you have already submitted a claim on the same day and the original claim is still waiting to be processed by the payer, we will automatically void the original claim and send a new one in its place
Are you tired of being limited by the capabilities of your medical billing software?
This powerful tool allows you to make small changes to your claims quickly and easily, without having to rely on your billing software. With our user-friendly interface and intuitive design, you’ll be able to mark claims as rejected and identify missing information with ease.
Choose from Pre-Built Modules or Go Fully Custom
We understand that every medical practice is unique, which is why we offer both pre-built modules and fully customizable options. Our pre-built modules are designed to perform a single function, such as updating patient demographics or adjusting charge amounts. However, if you have specific requirements that aren’t met by our pre-built modules, we can create a fully custom solution tailored to your exact needs.
With SharpClaim™, all of your custom edits will be stored in one convenient location, making it simple to track and manage your changes. We’ll also provide clear documentation of each edit, so you can easily see what’s been applied to your claims
Contact Us Today for Custom Claim File Solutions That Work for You!
Our Portal Can:
Professional, Institutional, and Dental all have claim editors. The editors will provide access to every field that could be possibly sent on an EDI claim format. There are times that fixing a claim in the editor will be faster than resubmitting the claim from your billing software.
This module will let you create your own workflows. The module helps you organize your claims into your own statuses and to specific users. For example, you might want all BCBS claims that reject to go to a specific person to work. You might also want to have a bucket to put claims you need to call the patient about, maybe they need a new member ID. This helps you organize it and not “loose” or “forget” about the claim.
You’ll never loose a claim because you can search by many different fields and options on the claim. From this screen you can edit the claim, find ERA’s attached to the claim, plus many other features. If you need a new option or search on a different field just ask and we can create it for you!
This screen allows for your claim management. You’ll never loose a claim because you can search by many different fields and options on the claim. From this screen you can edit the claim, find ERA’s attached to the claim, plus many other features. If you need a new option or search on a different field just ask and we can create it for you!
This module allows for making small changes needed on the claim that your billing software might not be able to include. Also, it will let you mark the claim as rejected if something is missing from your claim.
"Together We Rise"
Hubzone. WOSB. ISBEE. TERO Certified. CESO (Muscogee) and Chickasaw Nation Preferred Vendor
CEO/OWNER
Leverages over 14 years of experience in the healthcare field to lead the company. With a background as a registered nurse, Amber has firsthand insight into the challenges and intricacies of the medical industry.
Amber’s experience spans clinical practice and healthcare administration, enabling her to develop solutions that address the unique needs of healthcare providers, particularly within Native American communities.
Amber Sharp was honored to be part of the Cherokee Nation’s First Cohort of Native Women Entrepreneurs and is currently participating in the Natives Rising Founders Circle.
"This experience provided a valuable boost for ClaimRev and granted me access to a network of support and other women walking this path, which was particularly difficult to find as a Native Cherokee Women Entrepreneur."
Amber Sharp
CTO/CO-OWNER
Over 21 years of experience in software development, with a specialized focus on healthcare technology. He has a history of leading innovative projects that enhance medical claims processing and revenue cycle management.
Brad’s career includes significant roles at HealthAsyst, Conduent, and CareATC, where he honed his skills in enterprise software development and healthcare IT. His expertise in reducing claim denials, improving operational efficiency, and ensuring HIPAA compliance has made ClaimRev a trusted partner for healthcare providers.
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Personalized Medical Claims Processing; Streamlined for easy Healthcare Reimbursement
HubZone. WOSB. ISBEE. TERO. CESO
522320- Financial
Transactions Processing,
Reserve, and Clearinghouse Activities
518210- Data Processing,
Hosting, and Related Services
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Insurance related Activities
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