Yes, it's possible. Manage your claims lifecycle more efficiently.
KMR Claims Processing Manager is a state-of-the-art, fully integrated, customizable claims processing solution for TPAs, Self Insured and Claims Administrators. Our system includes a comprehensive Medical & Dental Reimbursement module, allows for electronic claims, integrates with Document Imaging systems, has the ability for debit card processing and is totally HIPAA compliant.
KMR's Claims Processing Manager Features:
- Member/Dependent Eligibility Checking
- Multiple Plan Coverage Caps & Limitations
- CPT Reasonable & Customary Pricing
- Special Provider Pricing
- Procedure Grouping
- Coordination of Benefits, Co-Pays & Deductibles
- Scanning & Image Management Capabilities
- Claims Processing Including Ability to Scan, Receive via EDI or Manual Entry
- Capability to Process Claims Through Our PPO Router System For Electronic Re-pricing
- Document Image Management System Eliminating Need to Store Paper Claim Forms
- Easy Retrieval Process Including Ability to Re-print Claim Form
- Check & EOB printing
- Voucher Printing Including Explanation of Claim Denial
- Positive Pay & Direct Deposit Capabilities
- Comprehensive Claims History Display
- Various reports including Claims Paid by Provider, CPT, Procedure
- Surcharge & Assessment Check Printing & Reporting
- Adjuster Analysis Reporting
- Actuarial Reporting
- Debit Card Processing
- 1099's & IRS Magnetic Media Filing
- Web Inquiry Capabilities
- Check Reconciliation System Including Ability To Post Cleared Checks From Bank
- Totally HIPAA Compliant
Let us show you how we can help you manage your Claims Processing requirements more effectively and efficiently.
