REVENUE CYCLE MANAGEMENT

WELLNOX also has an e-Claims service option. It comes integrated with our end to end software solution. The feature assists healthcare service providers in maintaining control over every receivable. With our solutions by your side, you will find it easy to reach out to Insurance agencies and communicate with them.

This will reduce the rejection rates significantly. Most revenue cycle operations, like remunerations and billing, are exhaustive processes and many challenges may arise in administering the compensation norms, payer-centric variables, and other directives.

Our Revenue Cycle Management module will help with all the major problems you face while billing. By having WELLNOX backing your services, your RCM team will find it easy to handle even the most demanding processes. Its rule-based core will authorize you to redefine the payer-centric variables and reimbursement guidelines. Your team will only have to input these values once, and the software will remember them for future reference.

Insurance

End to end Prior authorization workflow

Eligibility checks

Claim Imports

Claim Data management

Claim Submission

Claim Remittance

Claim Re-submission

Claim Reconciliation

Reports

Claim Submission report

Claim rejection report

Claim Re-submission report

Claim Analysis based on doctor, department, Insurance company, network and plan.

Masters

Insurance Company Master

Price List Master

Network and Plans

Copay and deductible rules

Coverage, exclusions

Posting to Accounts

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