There’s no understating the impact that delayed or denied claims can have on your organization’s bottom line. Claims Manager Plus™ is a SaaS solution designed to help hospitals accelerate payment for pharmacy claims and minimize claim denials, while strictly adhering to complex, government-mandated reporting requirements.
The solution’s sophisticated rules engine streamlines the adjudication process by automatically modifying claims based on your configurations, flagging errors and rejections, then revalidating with real-time edits you make directly in the application. Further, your modifications are incorporated into Claims Manager Plus so future claims will adjust correctly without manual intervention, continually reducing the percentage of rejected claims over time. Claims Manager Plus helps your hospital: