Kaiser implements HiPaaS to improve remittance reconciliation
for all non Kaiser claims payments across its 5 regions.
Get realtime view of your Claims Payments
Improve A/R accuracy & Improve net revenue of the practice
Improve remittance reconciliation, reconcile Claims with Payments including 835 ERA and Treasury files. Implement Al Driven and rule based EFT, ERA and Claims Invoice Match
ERA X12 835 Remittance advisoryPosting
Load 835 files and reconcile with outgoing 837 files.
Post Payments for reconciled claim payments
Post payments by generating 835 or via direct integration to your payment system
Create missing ERA entries
Manually create missing ERA entires or updates based on received 835
Create Workqueues for exceptions
Create work-queues with exceptions in reconciliation of 835 or treasury files for manual review
Adjustments or Patient Responsibility
Make adjustments / write off or transfer balance to Patient Responsibility.
Claims X12 837 Loading
Load and Validate all outbound Claims sent to Payers, Medicare and other entities
Reconcile submitted Claims 837 and incoming 835
Reconcile Claims and Claims Payment data, compare line items and identify missing or differences in codes
Load and Compare Treasury Files
Reconcile Treasury Files against the ERA data and post to GL systems
Al Driven and rule based EFT, ERA and Claims Invoice Match
Auto learning to reconcile and rule based data corrections
Research rejections and denial reasons
Research rejections and denial reasons, check the secondary payer information or resubmit claims or assign to Patient Responsibility
Collect Patient Responsibility
Integrate with payment system to collect patient responsibility or send data to payment system or collection agency