The Optiform 835XL™
Aids Healthcare Provides in Processing Patient and Insurance Payment Liability
The Challenge
The Complexities of Payment
In the fast paced, ever changing health insurance climate, Medical providers are consistently seeking the most relevant techniques to streamline communications between their patients, office staff and insurance companies. As healthcare providers transition more toward posting insurance payments electronically from 835 electronic remittance advice (ERA) files, certain challenges can arise when moving away from processing paper-based Explanation of Benefit (EOB) forms. This is mostly because ERAs have no human-readable documentation available for information systems which rely heavily on electronic images of paper.
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Name
The Optiform 835XL™
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Location
Nationwide
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Industry
Healthcare
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Solutions Implemented
Claims Processing, Invoice Processing and Workflow
Simplified & Streamlined
Resolving these issues is possible by introducing The Optiform 835XL™ into the existing process. This software saves time by automatically generating easy to read electronic images and associated index data from any insurance payer’s 835 electronic remittance advice. Using this powerful utility, healthcare billing offices can now gain greater efficiency by accessing patient-specific remittance advice information from a single point of view. The 835XL™ processing utility provides remarkably detailed reporting and allows healthcare providers to take advantage of the following benefits:
- Eliminates printing, filing or scanning of electronic EOBs
- Allows EOB images from 835 ERAs to be viewed in conjunction with images scanned from paper EOBs in an existing imaging system
- Makes retrieving EOB images faster in an existing imaging system by allowing claim level data - fields to be used in a search query
- Allows a patient financial system to link to EOB images
- Allows images to be attached to existing denial management workflows
- Produces HIPAA compliant images for submission to secondary insurance carriers
Our Solution. Their Results.
Shifting Focus
By implementing the full scale functionality of Optiform's 835XL™ healthcare providers are able to give patient access to online data regarding their financial responsibility for services rendered. Errors are noticed more quickly, and the patient is able to study the payment made by their insurance, learn about their medical benefits and make key decisions on how to financially prepare for future care. Simplifying the financial aspect of medical care allows patients to focus on their health and providers on their patients.
