The Challenge How It Impacts You Our Solution
Non-Completed Zero Balances $0 balances remain incomplete, blocking secondary/self-pay balances and risking revenue loss. Runs five scripts to complete balances, clear queues, and accelerate resolution.
Orphaned Work Items Work items assigned to inactive users stall, creating bottlenecks. Items are automatically reassigned according to current rules, keeping workflows moving.
Offsetting Balances Encounters with equal debit and credit balances require manual transfers. Detects and resolves balances instantly, reducing manual work.
Unproductive Work Items $0 balance scenarios generate unnecessary work items that clutter queues. Identifies and closes these items automatically, improving efficiency.
Voided Balances Payments posted after plan modifications create voided balances needing review. Matches plans, transfers payments, and resolves balances automatically.
Submitted Claims with Payments Payments don’t always trigger claim status updates, skewing AR reporting. Updates statuses to "transmitted," ensuring accurate reporting and smooth workflows.
Statement Cycle Reset Self-pay statement cycles get “stuck,” delaying billing. Resets cycles automatically to keep billing on track.
Progressing PR Balances Patient balances remain under insurance responsibility due to system errors. Moves balances to self-pay responsibility, resuming billing seamlessly.
Insurance Small Balance Write-Off Small insurance balances require manual write-offs. Identifies and writes off balances automatically, ensuring compliance.