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MEDRx:
Platform
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The
MEDRx solution from Revenue Management Solutions
is the Bank’s prescription for a web-based
service that provides the conversion of paper EOBs
to 835s, ERA consolidation, payment matching, and
connects their healthcare customer to an online
archive.
EOB Processing:
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Recognition and extraction of
detailed patient information from the EOB. |
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Complete data verification of unrecognized
data and balancing. |
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Reconciliation of the remittance to the
claim and payments. |
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Creation of HIPAA ready patient level snippet
images. |
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EOB data converted to the X12-835 file
or other supported posting file formats. |
Online Portal and Archive Research:
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Search for claims, remittances,
and payments by any combination of multiple
fields. (Patient account number, first name,
last name, dates of service, charged amount,
paid amount, etc…) |
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Viewing of the HIPAA ready patient level
snippet images or the complete EOB. |
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Resolve processing exceptions online: Remit
without payment, payment without remit, etc...
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Online reports for both the billing company
and the provider. |
Revenue Cycle Management:
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Secondary Billing
- Secondary billing enables the automation
of creating the updated secondary bill and
printing it with the patient level snippet
of the primary EOB. |
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Denial Management - Denial
Management gives the user the ability to view
all the claims by location where the remittance
was denied, then sort the denials by payer
and denial type. |
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Contract Management –
the contract management module identifies
underpayments and automates the appeals process. |
Management Portal:
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The Administrator interface
is used for daily administration of users
and adding new clients without exposing Private
Health Information to the administrator. |
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Banking
Collateral |
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