Sign up for our monthly eNewsletter
About RealMed
Provider Services
Payer Services
Videos & Reports
Partners
Contact Us
Home
⇔
Provider Services
⇔
Problems RealMed Solves
Problems that RealMed Solves
Problem: Payers are slow to pay and Patient portion is hard to collect.
RealMed Solution:
Better edits for cleaner, more accurate claims.
Direct connections to payers mean fewer hops.
Fewer denials and less to collect from patients.
Problem: Eligibility is too hard to check and takes too long.
RealMed Solution:
Check eligibility for all payers from a single portal.
Batch and real-time eligibility checks prior to patient appointment.
Automated eligibility check for major payers during claim submission.
Problem: Too many denials.
RealMed Solution:
Up-front edits prevent denials.
Identify eligibility problems prior to claim submission for immediate repair and avoid paper denials 30-40 days later.
Custom rules to identify and/or fix specific issues.
Problem: We don't have an opportunity to check eligibility before service.
RealMed Solution:
Automated eligibility check for major payers during claim submission.
Identify eligibility problems prior to claim submission for immediate repair and avoid paper denials 30-40 days later.
Problem: Hard to track claims - can't determine current status and/or which claims really need follow-up.
RealMed Solution:
Real-time transaction tracking of all claims throughout the process.
Automated status updates from major payers with routine status refreshes.
Exception management shows you which claims need attention.
Problem: Can't understand what errors are on claims , and it takes too long to fix them.
RealMed Solution:
RealMed finds the problems, translates cryptic codes and takes you to the field(s) that need to be changed.
Automated eligibility check for major payers during claim submission.
Review and correct errors in real-time – no paper denials 30-40 days later.
Custom edits can be created to identify claims with errors, or we can fix errors for you.
Problem: Don't know what recurring problems have not yet been identified.
RealMed Solution:
Identify practice trends to find problem areas and increase user productivity.
Detailed reports ready for you to customize and schedule to run automatically.
Problem: Paper remits are painful and going to payer websites is time consuming.
RealMed Solution:
One portal for all payer remits.
Automated file generation and ability to combine multiple files – fewer files to auto-post.
Receive electronic files for posting along with Adobe
®
PDF files to view and print
Track adjustments and denials.
Problem: My clearinghouse doesn’t integrate with my practice management system.
RealMed Solution:
Standard services work with any practice management system and any file format. RealMed integrates with hundreds of systems.
Premier services offer deeper integration with a growing number of practice management systems.
Problem: Poor service.
RealMed Solution:
For practices of 10 or more providers, RealMed provides ongoing, onsite consultation.
U.S.-based technical team and business analysts.
Direct and immediate access to an expert Help Desk.