PAYERS

Well-Connected
Unlike traditional clearinghouses, GHN offers payers the most comprehensive real-time, end-to-end, direct-to-payer processing of claims from acceptance through EFT. Our just-in-time, e-business process improvement methodology leveraged by the internet can enable you to dramatically streamline your claims business operation, enhance relations with provider community and minimize costly efforts to address ever-increasing healthcare claims management cost.
Features:
- Provider-facing online eligibility
- Smart Scrubbing™ for every transaction
- Web-native Direct Data Entry (WDDE)
- Real-time monitoring of claims status
- Full ERA translation; standardized 835-to-EOB; full EOB distribution & secondary billing
- Electronic Attachments
- EFT, cash reconciliation and banking
Benefits:
- Rapid deployment in just 9 days
- Claims acceptance ratio of 99%
- Elimination of duplicate batches
- Online payer-provider enrollment
- Comprehensive data repository across all healthcare provider segments to minimize exhorbitant costs related to compiling, formatting and presenting relevant data consistent throughout the enterprise
- Prevention of fraudulent, inaccurate or incomplete billing and treatment codes
- Enterprise class web-native management reporting tools and executive dashboard with graphical presentation of highly critical key business metrics
For a list of connected payers, please click here.
If you would like to experience these benefits, contact GHN.
|
|