Solutions

R

Claim Processing

We provide automated claims benefit adjudication for healthcare payers. The application supports straight-through processing of claims, enabling healthcare payers to significantly increase auto-adjudication rates by offering a wide range of configuration rules such as.

  • Flexible benefits
  • Authorization validation
  • Duplicate claim (line) recongnition
  • Filling limit detection
  • Payment policies based on individual HCPCS/CPT
  • “Call out” rules that retrieve information from neighboring components
R

Clearing House

New generation Clearinghouse service for the processing of health transactions between Healthcare Providers and Insurance Companies. The transactions are processed in real time (real-time), achieving efficiencies and greater reliability in the data.

R

Data Analytics

We provide value-based care performance management analytic system and business intelligence tools that enable clients to.

  • Create custom made dashboards
  • Create flexible and customizable reports
  • Identify patterns in data to improve internal claim process
  • Prevent overpayments
  • Optimize risk-based contracts
  • Reduce medical loss ratios
  • Improve the cost and quality of the healthcare system
R

Security

Our Data Centers count on all the security, redundancy, and contingency guarantees necessary for continuous processing, regardless any unforeseen events. 100% HIPAA Compliance.

Transaction Types

  • Eligibility (270-271)
  • Claims (X12-837)
  • Receipt Notifications (277 and others)
  • Claim Status
  • Payment Explanation (835)

TRUSTED BY:

Office

1400 NW 107 Ave. Suite 310
Miami, FL 33172

Call Us

Miami: 786.708.8394
Puerto Rico: 787.361.5066

Email:

support@avizzor.com

We're Here To Help!