Insight Workflow and Claim Editor works in conjunction with rest of The ClaimTrust InSight Revenue Cycle Solution™ suite of products to provide intelligent routing and simple repair of any claims flagged during the pre-submission, scrubbing process or post submission denials analysis. Claims are routed to the appropriate user and presented in a simple, familiar user interface so they can be repaired and submitted in the correct format as quickly and efficiently as possible.

With an intuitive and comprehensive editing toolset, rich all-payor knowledgebase and intelligent routing to ensure maximum efficiency, InSight Workflow & Claim Editor will transform your revenue cycle process.

Revalidate Claims in Real-time

InSight Workflow & Claim Editor operates as a virtual UB-04 editor with the ability to review, repair and revalidate claims in real-time. Repaired claims are then revalidated by the InSight Compliance editor providing immediate validation and output in 837 file format.

Intelligent Workflow Routing

Our intelligent workflow engine automatically determines which individual or department should receive each claim. The system also allows for multiple escalation levels configured according to internal hospital policies and includes a supervisor role for oversight and management.

True All-Payor Coverage

With coverage down to the fiscal intermediary/plan level, for any payor in any state, no one can match the depth and breadth of ClaimTrust’s editing capabilities. Our edit libraries are updated weekly by our team of revenue-cycle experts, so ClaimTrust clients always benefit from the most complete and up-to-edits available period.

Detailed Audit Trail for Reporting and Oversight

With coverage down to the fiscal intermediary/plan level, for any payor in any state, no one can match the depth and breadth of ClaimTrust’s editing capabilities. Our edit libraries are updated weekly by our team of revenue-cycle experts, so ClaimTrust clients always benefit from the most complete and up-to-edits available period.

HIPAA 5010 and ICD-10

The deadlines for HIPAA 5010 and ICD-10 will be here before we know it. Providers will be required to submit transactions with 5010 on Jan. 1, 2012, and convert to ICD-10 by Oct. 1, 2013. ClaimTrust will be ready to test HIPAA 5010 transaction sets and ICD-10 codes well ahead of these deadlines and will offer concurrent support for the 4010A and ICD-9 during your transition. If you have any questions about our transition to 5010 or ICD-10, please contact info@claimtrust.com.