Electronic Claims
Payors can subscribe to AdminisTEP on a flat-rate per-provider fee, or a per transaction fee. Both options enable payors to realize significant savings. With electronic claims, the following services are included:
- Set-Up Fees
- Support/Maintenance Fees
- Mail Submission of Paper Claims
- Transaction Routing - Any-to-any transaction translation
- Business Translation Logic - Transaction edits, scrubbing validation and other business rules. Hosted logic to decrease payor host system processing demands.
- Business Process Integration - Seamless provider-to-provider solution that increases host system functionality and process transactions. Options to fully outsource EDI process.
- Revenue-Cycle Management - Remittance and EFT capabilities
- Eligibility Verification Status
- Claim Status
- Authorization and Referral
Paper Claims
Fees for handling paper claims are up to 50% less than competitors. Fees include:
- Optical character recognition (OCR) turns paper-based claims into electronic formats
- Vertexing verifies data entry
- AdminisTEP also can handle the mailing of paper claims
Contact AdminisTEP to get a quote on handling your electronic and paper claims needs |