Claims processing infrastructure powered by Celerity, our Claims Pricing Engine.
High-performance network and reference-based pricing solutions.
ClaimsBridge® leverages the resources of any organization that transmits or processes medical, dental and institutional claims. Read More
ClaimsBridge® helps PPOs manage networks of customers and providers optimally at competitive prices.
ClaimsBridge® gives TPAs the capability to connect all the participants in a unified, seamless way.
ClaimsBridge® allows Providers submit their claims in any format, correct errors and get reimbursed faster.
ClaimsBridge® provides the infrastructure and experience that Self-Insured Employers need.
A critical step in claim adjudication, repricing can be complex and time consuming.
ClaimsBridge can automate much of the repricing process using business rules and pricing structures applicable to each ClaimsBridge client.
Repricing rules can be as complex as needed, based on one or more of the following:
Claims which cannot be priced by the primary network can be automatically diverted to wrap networks for processing before they are returned.