Financial Services

How We Connect To Hospitals

RelayHealth's Provider Services clearinghouse supports the entire revenue cycle: real-time access to insurance eligibility and address/credit information checking prior and after care delivery; claims compliance and submission; remittance advice; and electronic and paper patient billing. These solutions help Hospitals to automatically identify services that do not meet payor coding and billing guidelines as well as those that require additional documentation to support reimbursement. Organizations can also simplify patient communications by utilizing RelayHealth's patient billing and print services.

Claims processing enables professional (837p) and institutional (837i) claims processing via electronic data interchange (EDI) or paper, allowing providers and hospitals to connect easily with more than 1,800 payors nationwide.
Remittance posting recalls and transmits remittance advice from payors, saving time and preventing manual data entry errors.
Statement processing offers customized statement printing and distribution, mailing more than 291 million patient documents annually for healthcare providers throughout the country.
Online business office: Patient Compass^™ allows patients to use your Web site to access their up-to-date financial account information and view consolidated medical group charges on one statement.
Online insurance and Medicaid eligibility checking provides real-time, online access to critical patient eligibility and benefit information, minimizing staff frustration and non-covered patient visits, and denied claims
Charity eligibility
Address and credit checking enables real-time confirmation services that can help protect providers from fraud and bad debt.
Claims Management - ePremis^®: Increases productivity and accelerates cashflow while maintaining compliance with ever-changing regulations
Electronic Remittance Advice: Captures remittance advice from payors and translates into a standard format for automatic posting to eliminate data entry errors, maintain accurate A/R days and lower administrative costs
Medicare Direct Entry: Provides real-time Medicare claims submission to accelerate cash flow, eliminate RTPs, and increase productivity
Medicare Secondary Outsourcing: Dramatically accelerates and optimizes cash receipts from secondary to Medicare claims with no financial risk