Eligibility & Claim Status Transactions

Transaction services are Web Services API enabled!  License the RevX platform in full or pick and implement the components that best meet your needs.

ReveMed Claim Status Engine:  

  • Validation Engine deploys 1,000+ rules to perform “claim status” scrubbing for about 425 payers.
  • Requires single usernames and passwords.
  • Web services are API enabled, eliminating the need to upload or download files.
  • IPA detection engine is triggered post claim status submission.

 

By implementing business rules, the ReveMed Business Rules Engine turns Collectors into  Analytic Thinkers!

  • 30% – 40% touch-less transactions allow Collectors time to analyze patterns among payers.
  • Automating the manual task of assigning disposition codes and other actions based on the status of the claims are just a few of the ReveMed Business Rules Engine.

ReveMed Eligibility Engine: 

  • 98% of covered lives.
  • Requires single usernames and passwords.
  • Web services are API enabled eliminating the need to upload or downloading files.
  • IPA Tracker triggered post claim status submission.

ReveMed Insurance Discovery:

Allows Collectors to search for coverage within a geographic area with just a few keystrokes, batch file or via web service API.