Unlike traditional clearinghouses, GHN-Online® 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.
- 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.
- 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.