Claims Management

Claims Management is Premier’s solution for housing all account claim information at a detail level as it was submitted to the intermediary.  Additionally, any status update to the claim again at a detailed level is stored as well, including requests for additional information, pending notifications, payments, deductibles, adjustments, coinsurance and DRG. Direct access to the claim database is enabled from within MS4 and account based inquiry, MIRA, RE and others.

Claims Management contains all activity that has occurred to an account from the moment it was submitted to the receipt of its remittance payment (when Premier’s Remittance suite has been installed.)

All data in Claims Management is interfaced with Premier’s Denial Management, Manual Payment Entry and Remittance products.  Users have the Claim Summary Screen that displays claim amounts along side the Remit amounts received for each claim.

If your facility uses a third party claim scrubber, we have created a ANSI 837 inbound utility that will load the claim exactly how it was sent to your payers.  All you need is a copy of the Claim file (837 file).

We’d love to show you much more and how you can use Premier Software's powerful Claims Management module to take action and take control of your claims.  To schedule a demo or request more information email us at info@premsoft.com or call us at 1-801-299-8772 x118 or x128.