Benefits

Details

The eClaims process allows for the quick and efficient exchange of healthcare claims with the three Healthcare Insurers - Irish Life Health, laya healthcare & Vhi.

eClaims key benefits are:

• Faster payment of claims / reduced debtor days - Claims submitted electronically will be paid earlier than paper claims, thereby improving the cashflow position for the provider. Paper claims are a thing of the past.
• Earlier detection of errors – claims submitted electronically will benefit from earlier detection of errors. eClaims will drastically reduce the likelihood of claims being rejected or returned unpaid and the need to contact the Insurers to understand the reasons why. eClaims removes the non-conformance problem by the use of the eClaims Industry Standard for submitting electronic claims to the three main Healthcare Insurers.
• Lower Operating Costs – by eliminating significant parts of the manual claims process, staff are free to perform other revenue-enhancing functions and to focus on patient care.
• Improved Claims Management Processes - Electronic claiming will allow facilities to streamline their claims processes and to generate better management information including the generation of key performance indicators (KPIs) to help support ongoing process improvement initiatives.
• Status & Remittance – the availability of electronic claim status and remittance information cuts back on the long lead time to understanding the status of outstanding claims and the need to contact Insurers. This information allows for much improved claims procedures and cashflow monitoring.

In summary, eClaims is about efficient processing, faster payment and more control of the claims management process.