Today’s healthcare system is in the midst of transitioning from costly paper-based processes to efficient and secure electronic environments. Although there are obvious efficiencies and savings in an electronic environment, it is unlikely that all providers will suddenly migrate to accommodating electronic information overnight. As such, payers must incur the additional cost of supporting both paper and electronic systems.
Claim payment and Explanation of Benefit (EOB) distribution, whether print or electronic, is often not a core function for most health plans and administrators – who must contend with changing regulations (ex. HIPAA), operational inefficiencies, scalability limitations, and constant cost pressures. The consumer driven healthcare (CDH) movement is continually creating new payment requirements and processes. And customer service areas are often ill-equipped to respond to customer questions and requests. Consequently there is a demand for more sophisticated solutions and support tools to manage this critical business function.
FIS Healthcare Payment Solutions meets this challenge head on. Our ClaimPay / ClaimRemit solution is a post-adjudication payment and remittance distribution solution for the healthcare industry. With ClaimPay / ClaimRemit, payment, reconciliation, and communication are conducted more efficiently and economically, enabling payers to streamline their administrative processes and devote more resources to better serving their own clients.
Payment and remittance distribution is our core competency – it doesn’t have to be yours. We have the process, security, and technology to efficiently and cost-effectively coordinate both your paper and electronic distribution through a single processing and reporting interface. We have the scale to address both your short-term and long-term objectives. And we have the infrastructure to ensure your HIPAA and other compliance at a very low cost. With ClaimPay / ClaimRemit, you can achieve significant cost savings, increase operational efficiency, and free up resources to focus on your core business.