An end-to-end Claims intake solution designed for real-time claims imaging and EDI data tracking from the time that documentation is scanned or uploaded. With increased effectiveness around HIPAA 5010 step-up/step-down, and ICD-10 edits, organizations can now aim for higher member and provider service levels.
Softheon Business Connector Cloud (BC2) Claims Pre-Adjudication gives healthcare payers all necessary tools when dealing with the Claims Pre Adjudication process. Softheon's BC2 solution integrates easily with a variety of Core Admin systems, including Trizetto FACETS, QMACS, Amisys, QCARE, Diamond, Peradigm, and Xcelys.
Additional benefits of the Softheon Claims Pre-Adjudication solution include: