You already know that a higher auto-adjudication rate means enhanced profitability for your company. Think about how much your company could potentially earn from a guaranteed 99% provider match, without duplicates, and with integrated NPI numbers… This is precisely what BASELoad’s SureHit process offers.
Here’s how it works:
- BASELoad retrieves all claims files from all of your claims generators
- We receive repriced and non-par EDI claims from any pricing entity
- Provider data is normalized from the claim data using BASELoad’s proprietary algorithms
- We attach a “key” to each provider record and corresponding EDI claim. Keys are then used for matching criteria on both provider uploads and claim/provider matching guaranteeing 99% match
- Data is cross-referenced for PPO affiliations, specialty codes, and degrees according to your unique system specifications
- Providers are matched on your preference of either verified locations or billing addresses
- All provider loads are compiled in your selected software provider upload file format
- Non-par loads are also created with no network affiliation
But that’s not all the SureHit system provides. We also deliver:
- Complete turnaround in just 4 to 8 business hours.
- Guaranteed 95+% reduction in Provider not Found queue
- No startup fees
- Typical implementation is 10 business days
- Auto-adjudication rates increase from DAY 1
No more pre-loading and maintaining millions of records, no more housing of fee schedule data, just a dramatically increased auto-adjudication rate and better across-the-board efficiency and profitability for your whole team.
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BASELoad runs many utilities based on client needs and any of our core services can be modified to fit individual client situations. In fact, several of our new services were created in response to client requests. Whether you need comparison utilities to update phone and fax numbers, NPI numbers, and specialty codes; or maintenance on web directories from all your networks; or even a solution you don’t see listed here… we’re always eager to help. Our top priority is your complete satisfaction.