Claims Exchange allows claim information to be imported and exported in various electronic formats.  It is designed to allow your organization to realize the cost benefits that can be attained via electronic management of claim related data.

Feature

Benefits

Import multiple claim files Multiple formats generated from various submitters including, providers, payers, or clearinghouses can be easily imported.
Data Validation Ensures database integrity. Makes sure claims contain valid providers, health plans, members, procedures, and diagnosis according to your eMCee database.
Exception Handling Claims which do not pass integrity checks can be easily reviewed, corrected, and reprocessed with a click of button. Claims which pass validation checks get automatically imported into eMCee, in other words, one bad claim won't prevent other claims from being imported.
Claims File History Allows your organization to fix and reprocess claim files at any time.
Claim Exporting Multiple selection criteria including user defined selection criteria can be used to select claims for export. Claims can also be reviewed prior to exporting a batch.

Application Screen Shots

View/Fix Exceptions  
 

 

 

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