PROVIDER NOT FOUND costing you a fortune?

SureHit

Medical Provider Matching

Medical Provider Matching

Eliminate your “Provider Not Found” queue.

  1. 24/7 real-time API runs claims continuously.
  2. Return XML/JSON provider records enriched beyond the data you send.
  3. End manual intervention one claim, one perfect match.
  4. Fully integrated with Javelina, Healthpac, VBA, Luminx, WLT, Hi-Tech.
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TPAs, PPOs, Health Plans, Workers Comp

Healthcare Payers all run into the same problem during the adjudication process – a daunting amount of medical provider data errors that must be manually researched and corrected. This work is time-consuming and costly, often pulling your team away from other tasks.

BASELoad provides auto adjudication solutions that can reduce medical provider data errors to as low as 1%. This radical improvement in adjudication creates a much more efficient process for payers. 

Average mistakes on 837 claims/bills files

Provider information on claims – missing or inaccurate30%
30%
NPI Type I Type II incorrect10%
10%
Missing phone numbers20%
20%
Missing fax numbers90%
90%
Undeliverable addresses7%
7%
Incorrect / Transposed Tax Identification numbers5%
5%
Incorrect facility / physician identifiers5%
5%
Newly introduce provider records22%
22%

THE BEST PROVIDER MATCHING SOLUTION

SureHit is the original and best solution for Medical Provider Data Matching to use with your existing auto-adjudication process.

BASELoad provides specialized services in medical provider data for healthcare payers.

Unparalleled Provider Database

Proven, Industry-Leading Process

Exceptional Customer Service

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Testimonials

SureHit

Radically Improve EDI Adjudication through Medical Provider Data Matching & Corrections

What Is SureHit?

SureHit is a unique combination of services, technology, and data that serve to match and correct medical provider data for TPAs, PPOs, Health Plans, and Workers Comp during the electronic adjudication process.

What Does It Do?

SureHit improves the efficiency of healthcare payer adjudication by matching, correcting, and fulfilling medical provider data automatically, reducing items in the “provider not found” error queue to as low as 1%.

How Difficult is Implementation?

While implementation does require your attention, it is surprisingly simple. It takes only weeks to be fully implemented. Check out our implementation guide titled What to Expect: A Simple Overview of the SureHit Medical Provider Data Solution.

SureHit NOW

Real-Time Integrated Processing

SureHit BATCH

Same-Day Batch Processing

Features & Benefits

BASELoad, Inc.

  • Soc2 Type II Certified
  • 24/7 customer service with a real person
  • All data managed and stored in the US

Our SureHit Solution

  • Up to 99% provider data accuracy
  • Completely customizable for client needs
  • Reduce operating expenses on day one
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CASE STUDY:
SureHit Batch

We onboarded a new client who processed over 200,000 claims per month and had 80,000 of those going into a “Provider not found” queue. Our solution dropped that number from 80,000 to 1,000 in two days time.