features and benefits
Streamline the claim submission process
Submit all commercial payer and Medicare claims using Optum® Intelligent EDI. Upload, track and manage claims from a single dashboard to help ensure the most timely and accurate payments.
Achieve higher first-pass payment rates
Submit clean claims to reduce denial rates and A/R days, as well as increase collection rates. Built-in intelligence and editing functionality from Optum allow organizations to correct errors prior to entering payers’ adjudication systems.
Automate clinical documentation exchange
Our compatibility with the industry’s top technology vendors, including streamlined integration with Epic, enables organizations to maximize their current investments and ensure claims are routed within their current electronic workflow.
Customize EDI with in-stream capabilities
- Claim submission and remediation
- Claims status inquiry
- Referral authorization
- Electronic remittance
- Dashboard view
- Eligibility and benefits checking
- Advanced clinical editing
- Patient statements
Saves time within the revenue cycle process by identifying coding edits prior to claim submission, reducing time and resources.– Coding and reimbursement manager