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What is Remittance360?

Remittance360 serves as an essential resource for all organizations involved in the healthcare revenue cycle sector. By utilizing standard 835 files, various departments within these organizations can harness the platform to make well-informed decisions regarding cash flow and accounts receivable management. The intuitive design of Remittance360 ensures that setup is quick and efficient, allowing for the seamless upload of 835 data in mere seconds. With the ability to manage the standard 835 data set, organizations can easily incorporate necessary information without requiring extensive IT assistance. This platform effectively utilizes existing data to generate valuable reports on denials, emerging trends, and payer-specific activities, which are critical for identifying particular workflow needs. Furthermore, users will appreciate the simplicity of the data querying feature, which allows them to save frequently used queries for easy access in the future. For example, examining denials by remark codes alongside departmental performance metrics can reveal and resolve fundamental issues within the system. Ultimately, Remittance360 equips organizations with the tools necessary to improve their revenue cycle management, fostering a culture of informed decision-making and strategic enhancements. With such capabilities, organizations can strive for continuous improvement in their operational efficiencies and financial outcomes.

What is Inovalon Claims Management Pro?

Achieve a consistent revenue flow by leveraging a powerful platform designed to expedite reimbursements through eligibility checks, claims status monitoring, audit and appeal processes, and remittance management for both governmental and commercial claims, all within a unified system. Benefit from an advanced rules engine that swiftly corrects claims in alignment with the latest regulations from CMS and commercial payers, enabling you to fix any errors before submission. During the claim upload procedure, verify eligibility with all payers and pinpoint any issues that require attention, allowing for essential modifications prior to dispatching the claims. Decrease the days in accounts receivable by utilizing automated workflows to manage audit responses, submit appeals, and oversee administrative dispute resolutions efficiently. Customize staff workflow tasks according to the type of claim and the actions needed for resolution. Moreover, automate the process of submitting secondary claims to avoid the risk of timely filing write-offs. Ultimately, improve your claims revenue through streamlined workflows that support faster and more effective audits and appeals, ensuring your organization remains financially robust. Additionally, the adaptable nature of this comprehensive system allows it to grow alongside your operations, providing sustained advantages over time. This flexibility not only enhances operational efficiency but also prepares your organization for future changes in the healthcare landscape.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Inovalon Provider Cloud

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

GAFFEY Healthcare

Company Location

United States

Company Website

gaffeyhealth.com/remittance360/

Company Facts

Organization Name

Inovalon

Date Founded

1998

Company Location

United States

Company Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Categories and Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

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