Claims Processing Efficiency Test

How many different systems do you log into to check eligibility

Does your claims processing system offer access to HETS?

Does your claims processing system offer access to DDE?

Can you check and audit denials from within your core claims system?

Does your claims system flag and allow you to correct claims before you submit a batch?

Does your claims system provide instant ADR alerts?

Does your claims system automate secondary claim processing?

How long does it take to train new hires on your training system?

Is your claims system built for all types of healthcare organizations or just post-acute care?

How are support questions related to your claims system typically resolved?

How quickly could you get a report on claims activity?