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The Future of P&C Electronic Billing

In recent years, many healthcare providers have transitioned from manual, outdated systems to streamlined e-billing processes for group health claims. Now, healthcare providers benefiting from these efficient e-billing solutions are calling for similar advancements in the P&C sector. Specifically, they seek 270/271 eligibility processing to align with their existing group health workflows. However, the complexity and extensive data requirements of workers’ compensation and auto casualty claims do not fit neatly into traditional 270/271 Eligibility ANSI file formats, posing a challenge for P&C claims processing.

ClaimCheck360 Data Dimensions

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Provider Benefits

With ClaimCheck360™, providers can benefit from a more simplified claim process. The benefits include:

Outsource Audit Processing
  • Pre-validated patient data: Patient data is determined before sending eBills, reducing the need to call payers, TPAs, or bill review teams.
  • First-Pass Acceptance: First-pass acceptance is increased, sending a cleaner ebill the first time vs. bills getting rejected for missing or incorrect claim numbers.
  • Automated Claim Data Retrieval: Providers can retrieve claim data efficiently and through an automated process vs. staff manually logging onto portals to search each request.
  • Reduced Administrative Burden – ClaimCheck360 ™ streamlines claim searches and verification, saving valuable staff time and reducing unnecessary calls.

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