Claimsure
Sláinte’s Claimsure® is a complete claims management system that manages the entire lifecycle of a medical insurance claim. It transforms the health insurance claims cycle from a reactive, paper-based process into a pro-active, seamless electronic process.
Claimsure is a web-delivered solution that actively generates claims on the basis of patient registration. With HL7 integration capability, claims generation can be done in realtime (allowing patients to sign claims electronically on admission), or as a scheduled batch process, depending on the capability of the client’s HIS system. The claim staus is actively updated during the patient episode and relevant information is populated to the claim as it is generated.
Claimsure also facilitates the complete handling of existing paper claims, with our proprietary “quick-click” scanning technology, that scans, indexes and saves documents at the click of a mouse. Add in a full automatic claim validation process combined with an innovative e-submission protocol, and the operational benefits are compelling.
Benefits
- Improves your hospital revenue cycle by up to 100%
- Reduces your claims debtor days by up to 50%
- Reduces hospital revenue debtor days by up to 50%
- Reduces staff resources by up to 50%
- Facilitates paperless, efficient, transparent claims process
- Allows electronic submission of claims via XML/SFTP/HL7 or other options facilitated
- Means digital copies of submitted claims can be retained to facilitate robust follow-up to unpaid claims
- Allows fast follow-up unpaid submitted claims (pended, rejected, part-paid or no response).