Eliminating Roadblocks in Claims Processing
Blue Compass Claims and Invoice Management
Cumbersome administrative processes standing in the way of Medicaid claims processing keep those who need it most from proper care and services.
At FEI, we wanted to create solutions that could simplify claims processing so your members could get the care they need covered as quickly as possible.
The Blue Compass claims and invoice management module streamlines and automates the managing of healthcare claims. The system provides transparency and allows states to know that claims are being validated by Medicaid before issuing payment, thereby relieving a significant administrative burden. The solution is a robust coordination of benefits module, enabling review and reconciliation of claims. Patients can receive the care they need, when they need it. The Blue Compass claims and invoice management module supports Electronic Data Interchange (EDI) standards to seamlessly send and receive claims data to Medicaid for verification. The system automatically aggregates claims from all state providers, to send a single EDI transaction document to Medicaid. With native support of HIPAA’s EDI transactions (including 837, 999, 276/277 and 835), the module can integrate with multiple payers and funding sources. This includes interfaces with state Medicaid systems to determine a person’s eligibility, including retroactive eligibility, ensuring comprehensive coordination between eligibility and service delivery.
Chris is a service administrator who works for a regional case management center. His long, often tedious, workdays are spent tracking down licensed providers to try and resolve issues with Medicaid claims.
But, when the department implements Blue Compass case management for long-term services and supports, there is a module that can directly address Chris’s administrative needs.
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