Ovation Revenue Cycle Services eClaim Status Transaction Expedites Payment and Reduces Manual Effort
Ovation Revenue Cycle Service’s eClaim Status Transaction enables revenue cycle managers to overcome many obstacles that increase payment lag from service to expected payment. Delayed payment may result from denied services, lost claims, and pended claims while the payer requests additional supporting documentation.
The eClaim Status transaction enables you to focus your efforts on claims you can do something about and ignore the claims that are scheduled to be paid. Our clients report that nearly 50% of their claims were scheduled to pay 3 to 5 days after submission-without any effort from the staff. Eliminating those accounts from your staff’s work queue greatly reduces their case load and enables them to spend more time on providing additional documentation that was requested, appeal denied claims, and resend claims that were not found in the payer system.
Ovation RCS’ claim status transaction processing service provides infrastructure, tools, and support for obtaining claim status details from a number of different payer websites using web-scraping technology. The information provided using Ovation RCS’ transactions is significantly more detailed and extensive compared to the traditional 276/277 transactions for claim status.
This web-based, direct-to-payer, claim status inquiry system replaces or supplements standard 276/277 EDI transactions to provide a richer, more actionable data set. Claim status and denials can be reported as soon as 1-day post billing in a standard, easy-to-read format.
To learn more about Ovation Revenue Cycle Services, visit www.ovationrcs.com.
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