ClaimsBridge Connect

Our flexible claims processing infrastructure securely connects Providers with Payors and Administrators to streamline claims processing, reduce redundancies, and increase scalability. Clients can choose from an array of technology-enabled services that automate all or portions of the complex claims processing lifecycle.

Our comprehensive capture and processing services offer a single-source solution that transforms traditional fragmented, costly, and inefficient pre-adjudication processes.

CLAIMS PROCESS LIFECYCLE

The ClaimsBridge Connect Process

ClaimsBridge Connect is powered by Celerity, our robust Claims Pricing Engine. Celerity drives customizable rules-based processing of claims data, including capture, validation, repricing, and routing. By automating the complex claims pre-adjudication lifecycle, Celerity delivers accuracy, efficiency, and cost savings to clients.

THE CLAIMSBRIDGE CONNECT SERVICES INCLUDE:

EDI Transaction Management

Electronic Data Interchange transaction management for virtually all EDI claim formats, standard or proprietary.

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Contract Pricing & Repricing

ClaimsBridge can automate much of the repricing process using business rules and pricing structures applicable to each ClaimsBridge client.

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Paper to EDI

ClaimsBridge can automate much of the repricing process using business rules and pricing structures applicable to each ClaimsBridge client.

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Data Validation & Scrubbing

The objective of the ClaimsBridge scrubbing services is to maximize our clients’ auto-adjudication or auto-pre-pricing rates.

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Routing Services

ClaimsBridge Routing Services evaluate each claim, based on the business rules of our clients, to determine each claim’s next recipient.

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Web Portal Solutions

The ClaimsBridge Web Portal is a powerful interface that allows clients to securely access their data anytime from anywhere.

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PLUS

Contract Management

Contract Management

Claim Status & Tracking

Claim Status & Tracking