Claim Management Systems and Services - Payerpath for Payers

Payerpath and Misys can help health plans realize the savings potential of e-commerce through industry leading web-based claims management systems and claim management services designed to maximize the use of electronic transactions and reduce paper, telephony and manual processes. Through a combination of real-world experience and cutting-edge technology Payerpath has created effective and practical claim management solutions to the administrative inefficiencies in the healthcare industry. With proven strategies aimed at reaching those providers that have been slow to adopt e-commerce. Payerpath helps payers to increase electronic transaction volume and reduce administrative costs. Payerpath focuses on providing healthcare transaction solutions that meet the unique needs of specific local geographies maintaining an exceptionally high level of quality, knowledge and service to its customers and partners while remaining national in scope. With its comprehensive set of technology solutions and significant provider presence Payerpath can offer the insurance claim processing services and revenue cycle solutions to increase satisfaction between payers and providers, while allowing payers to direct critical resources to projects more fitting there core competencies.

Solutions for Claim Management Systems and Services - Payerpath for Payers

Payerpath Connect
Through comprehensive set of transaction management services that promote provider connectivity, Payerpath Connect helps payers to increase electronic transaction volumes by complementing existing web based transaction capabilities and EDI initiatives. Payerpath Connect increases both the number and quality of the electronic medical claims that payers receive with its sophisticated e-commerce solutions and proven deployment strategies, Payerpath Connect allows payers to improve electronic transaction volumes while at the same time dramatically increasing the number of electronic medical claims that achieve first-time-pass through to the adjudication system and reducing the number of manual interventions required. Payerpath Connect also eliminates the amount of time providers must spend responding to denied or rejected transactions, resulting in increased provider satisfaction, fewer provider transaction inquiries and stronger provider relationships.

Payerpath Transaction Portal
Payerpath Web Portal, which is developed with the payer's own brand identity, increases the percentage of electronic transactions in the small provider market while increasing name recognition and strategically positioning the payer in the healthcare marketplace. By utilizing the payer in the healthcare marketplace, by utilizing this option, payers can quickly and cost effectively deploy a branded claims management system that targets traditionally hard-to-reach providers, through a seamless log-in capability that links directly from our payer partners websites, users can quickly and easily conduct transactions such as eligibility, prior authorization, claim, entry/submission, claim status and remittances. Payerpath also offers a web-based client support tool that delivers payer-branded support to providers.

Payerpath Gateway
For those payers that want a complete claim processing system for transaction processing to replace or interface with legacy systems, Payerpath Gateway offers a comprehensive set of products and claim management services designed to improve the quality of transactions and increase the overall transaction volume in the market. Payerpath Gateway allows payers to recognize the benefits of Payerpath's state-of-the-art, EHNAC accredited network operating center (NOC) which helps both payers and providers to easily meet the demanding requirements of HIPAA. Additionally, the Payerpath NOC utilizes a sophisticated production control and transaction tracking system that virtually eliminates the potential for "lost transactions" and further improves transaction processing for both providers and payers. To achieve a complete claim management system, payers can utilize Payerpath's Web-based transaction portal with enhanced editing and reporting capabilities along with Payerpath's proven sales deployment strategies for the growing number of transactions that are processed electronically. With this claim management system, payers can realize a first-mover advantage in the marketplace while significant percentage of the small provider marker, payers can reach those hard-to-automate practices and indicate the transition to electronic medical claims submission. Payerpath's easy-to-use claim management system leads to increased provider acceptance, improved provider satisfaction and stronger provider relationships. By capitalizing on Payerpath's experience in the industry, payers can help providers to realize the benefits of electronic transactions, from enhanced productivity to timelier reimbursement.