PAYERS

Well-Connected

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.

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.