MEDICAL BILL REVIEW

Bill Review, Optimized for You

Enlyte的尖端账单审查平台使用先进的技术来优化医疗账单处理索赔组织. 采用最新的收费时间表和基准,我们的平台确保精确的索赔管理. 与Enlyte的药房和临床软件无缝集成, 我们的系统提高了准确性,并提供了全面的视图, enabling efficient and transparent claims management.

WHAT MAKES US DIFFERENTIndustry-Leading Bill Review Software & Services

从智能工作流专业定制到您的业务, to integrated solutions; our bill review platform can help you accurately adjudicate claims, increase operational efficiency and contain costs.

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Best-In-Class Technology & Expertise

控制成本,把更多的时间花在高价值的任务上

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Deep Systems Integration

Accelerate medical bill ingestion and processing

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Timely Fee Schedule Releases

Maintain regulatory compliance

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Highly Configurable Workflow Rules Engine

提高索赔处理效率,提高账单审核的准确性

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Automation and Straight-Through Processing

通过强大、智能的业务规则和机器学习来提高自动化程度

BILL REVIEW FOR WORKERS' COMPENSATION

SmartAdvisor

SmartAdvisor是一款领先的医疗账单审核软件,旨在有效控制成本. This automated, 可定制平台采用先进技术,确保精准, timely fee schedule information, integrating seamlessly with claims management systems, PPOs, specialty networks, and e-billing solutions. SmartAdvisor帮助组织准确评估医疗费用, stay compliant with regulations, and achieve significant savings. Most importantly, 它优化索赔裁决程序,以确保受伤员工的最佳结果. SmartAdvisor对于提高运营效率和最大限度地节省成本至关重要.

NEW UPDATED INTERFACE

DecisionPoint Redesign

DecisionPoint软件套件是专为汽车事故亚博真人官方版APP和第三方管理员精心设计的, 为账单审核需求提供灵活的亚博真人官方版APP. 我们的综合亚博真人官方版APP增强了DecisionPoint理赔管理工作流程的能力, ensuring medical bills are repriced accurately and fairly. 这就控制了成本,提高了一致性,提高了运营效率. Ideal for optimizing claims processing, DecisionPoint ensures a smoother, more efficient management of auto insurance claims, enhancing accuracy and fairness in medical billing.

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Cost Containment Solutions

AuditPro

我们的AuditPro账单审计亚博真人官方版APP采用了独特的技术组合, data and expertise to detect billing errors, 验证和纠正医疗代码,并对医疗记录进行收费,以进行账单审核定价. AuditPro亚博真人官方版APP可处理各种账单类型,包括专业和设施账单.

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Specialty Bill Review

Enlyte的专业账单审核亚博真人官方版APP提供经过验证和证实的常规和惯例定价,以帮助我们的客户在收费计划定价豁免的情况下始终如一地支付网络外的医疗账单. 我们的专业账单审查亚博真人官方版APP是由经验丰富的账单审查团队的支持, nurses, legal and compliance experts.

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Negotiations Services

Enlyte的直接与供应商谈判服务使用包括即时支付在内的各种策略,帮助确保医疗账单的折扣率, data-enhanced and strategic negotiations. 我们的谈判服务可用于工人赔偿和汽车索赔.

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Cost Containment Solutions

ePay

当涉及到减少索赔费用和变得更有效率, 实施电子支付流程是一种经过验证的方法,可以立即降低索赔组织的支付成本.

  • Replaces inefficient paper-based payments
  • Integrated in the bill review workflow
  • Helps expedite payment cycle times
  • Allows providers to choose preferred payment method
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Cost Containment Solutions

eBill

我们的电子账单计划提供为保险行业量身定制的尖端电子医疗账单服务, 利用先进的技术,大大降低付款人和收款人的运营成本. 旨在简化医疗保健提供者和索赔处理人员之间的电子计费, eBill efficiently handles first and third-party claims, as well as workers' compensation claims. 该程序不仅简化了计费过程,而且确保符合国家报告要求. 集成了一套全面的伤亡亚博真人官方版APP, eBill accelerates the turnaround time, 提高理赔处理和结算的整体效率.

DELIVERY MODELA Delivery Model Tailored to Your Needs

Enlyte通过以下三种方式之一向客户提供医疗账单审核平台:

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Enlyte Licensed Software
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Business Process Outsourcing
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Hybrid Model
BUSINESS PROCESS OUTSOURCING

Need More Help? Outsource with the Experts

Our Technology Enabled Services handles your necessary, 但往往是昂贵的内部运营任务,这样你就可以将注意力转移到企业的核心竞争力上. When you outsource with Enlyte, 我们将为您的医疗索赔提供一流的服务和账单审核专业知识, giving you the confidence, 选择账单审核服务提供商时,您需要的满意和信任. 您可以确信您的医疗索赔是由业界首屈一指的服务提供商提供的,拥有数十年的账单审查专业知识.

我们的团队提供全面的账单审核服务,包括:

  • Medical bill processing
  • Mailroom operations
  • Document management
  • Data capture
  • Provider contact center
  • Specialized third party liability demand services

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将行业领先的技术与深厚的市场专业知识相结合,以实现卓越的索赔结果. 预约咨询,以了解我们全面的综合伤亡服务和亚博真人官方版APP.