Ability to manage insurance payer and individual health plan contracts in order to accurately predict insurance reimbursement, contractual adjustments and patient liability.
Ability to post patient payments and adjustments to billing system which are immediately reflected in estimate and patient account.
Ability to determine if an insurance payer will cover appointments, procedures or medications prior to services being rendered
Ability to perform patient’s insurance coverage verification prior to the procedure or visit.
Ability to produce client defined documents in order to meet the needs of individual organization requirements
Financial Reports that enable you to get the financial data necessary to effectively manage accounts based on regional reporting requirements.
Ability to build and configure client and payer specific edits based on regional requirements to ensure claim is accurate prior to submission
Ability to evaluate whether a procedure is covered given a specific diagnosis and based on the patient’s health plan
HEI Solutions provide an enhanced seamless end user experience by fully integrating our applications directly within the Cerner Architecture.