Maximizing Reimbursement

PointClickCare/EHR Data Exchange

Manage claims transmission, status, and edits; or update related patient data without leaving the PointClickCare application. Benefit from real-time, two-way data exchange not currently available through other claims apps.

•  Initiate 837 claim in EHR system with automated clearinghouse retrieval/review
• Review and easily edit errors for resubmission and auto-update to EHR system
• Automatically receive 835 remits in EHR system, which generates cash receipt

Automated, Full-Service Payer Enrollment

With all payers and each of their enrollment processes built in to primeCLAIMS, enrollments are virtually painless.

•  All payer forms
• Customized processes
• Near real-time status

SNF Eligibility and Clearinghouse

With eligibility checking across all payers, coverage is easily verified upfront. When it's time for claims submission, primeCLAIMS catches nearly 100% of errors, while offering fast editing functionality to quickly adjust any flagged errors.  

• Medicare/Medicaid
• Commercial payers
• HETS verification
• Batch submission without batch rejection

SNF-Focused Submission, Editing and Tracking 

Once claims are submitted, your team can log in daily to see updates and work the lists that require attention. Our EzDDE interface offers instant submission, status, and editing -- without leaving our app. 

• Patient-centric
• Simplified editing/tracking
• Direct DDE connection
• Easy to train

Claims Analytics and Unique Biller Expertise

Unlimited reports offer everything you need to analyze trends and focus attention on the areas most in need.

• Actionable reports
• Support staff with billing experience
• Centralized or decentralized billing

One Simple System with Powerful Results

Fast Pay on All Types

Commercial claims paid as fast as 14 days

Super-Clean Submit

Nearly 100% errors found pre-submission

Short Turn-Times

Claims turn time shortened by up to 50%

Less Follow-Up 

Fewer days sales outstanding (DSO)