Error Check Based on Standardized Billing Methods:

Prevents data errors and mistakes in claim preparation, blocking rejected submissions and preventing unprocessable claims.
Checks claim codes and data against the latest pricing information, while adapting to changes in regulatory layouts with flexible responses to system updates.

Review of Potential Adjustments Based on Health Insurance Criteria:

Provides information on examination trends and monitors disease linkage to minimize operational mistakes and prevent billing errors.
Prevents claim leakage by ensuring accurate medical fee calculations.

Analysis and Statistics Based on Review Results

Offers diverse and accurate statistical data to enhance hospital management and efficiency.
Identifies medical practice patterns by conducting detailed cost reduction analyses by department and doctor.
Speeds up the process with convenient appeals/reconsideration claim adjustments.

Improved Work Efficiency through Minimizing Manual Work

Reduces error-prone claims caused by human mistakes

Minimizing the Need for Additional Adjustments to Existing Systems

Provides a standardized interface to streamline integration.

Enhances Hospital Image and Trust by Minimizing Error Claims

Builds credibility and improves the hospital’s reputation by reducing errors in claims.