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Health Claims Processing

RealMed is the leader in health claims processing solutions. Using the power of automated workflows and the connecting of health plan and practice management systems, we simplify payments and transactions between patients, providers and payers.

RealMed's unique combination of technology and personal customer support teams allows all healthcare stakeholders to maximize revenue, lower operating costs and increase productivity. We are a friendly company that does its best to listen to clients and on our website you can learn of our record of delivering on past promises, find proof of our reliability, and evidence that we provide great service to our clients.

Here's what RealMed's health claims processing solution provides your office:

  • Acceptance of data in any format including ANSI (4010 and 5010), NSF, HCFA and proprietary formats.
  • Automated multi-payer eligibility verification as part of the claim submission process.
  • Automated electronic claims submission, management, status, and tracking.
  • Upfront real-time edit/error management and claims scrubbing.
  • Easy-to-understand English language error and denial explanations, at claims submission and payer EOB.
  • Electronic remittance retrieval and tracking, including human readable formats.
  • Institutional and secondary claims submission capabilities.
  • Report generation, data evaluation, and trending analysis.
  • Electronic Workers Compensation claims submission.
  • Practice management integration capabilities for automated submission and posting of data.
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Learn More: 5010 Compliant Claims Management HIPAA 5010 Implementation Medical Claims Processing 5010 Solutions Electronic Medical Billing Service Medical Billing Clearinghouse Real-Time Claims Adjudication Healthcare Revenue Cycle Management HIPAA Medical Billing