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Claims Management
Clean billing drives faster reimbursements
Claims management technology improves medical billing accuracy and compliance with comprehensive clearinghouse and editing services

Healthcare providers reeling from improper billing and low first-pass rates can speed up reimbursements with a content-rich, integrated billing solution

Claims Management
- Checks every claim for errors and automates issue resolution with 28,000+ institutional and professional edits
- Embeds edits within major patient accounting systems to prevent rework and create a single source of truth for compliance audits
- Leverages extensive payor connections to speed up the billing cycle with comprehensive claims edit and clearinghouse capability
Proven results
- Resolves errors with 28,000+ institutional and professional edits
- Achieves average claim rejection rate of less than 2% compared to rates up to 15% with other solutions or self-managed edits
- Eliminates up to 90% of unnecessary follow-up
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Claims Management Module
Claims Remittance Management
Bank Deposit and Remittance Reconciliation
Claims Management Reporting and Claims Analyzer
Eligibility Management
Medicare Direct Claims Management
Electronic Attachments
Worker’s Compensation Solution
Claims Status Advanced
Paper Claims Printing Services
High volume of rejected claims?
University of Washington Medical Center improves its clean claims rate with nThrive

University of Washington Medical Center:
Denial rate dropped more than 50%
California client:
Rejection rate improved 86% in 1 year
Major Northwestern healthcare provider:
Accelerated cash flow by $21.8M
Midwestern healthcare provider:
Monthly ROI increased 6.5x, equating to 37 FTEs
Improper billing delaying your reimbursement?
Claims Management maximizes first-pass payment rates
Why nThrive
- Our clients achieve an average claim rejection rate of less than 2%, compared to rates up to 15% among providers who use other solutions or manage their own edits
- nThrive is the only vendor with embedded edits within the major patient accounting systems
- nThrive ensures proper reimbursement and compliance across payors and understands the complexities of billing beyond clearinghouse functions
- nThrive Claims Management solutions help eliminate up to 90% of unnecessary follow up
Low clean claim rate?
California-based healthcare system achieves 95% clean claim rate in one year
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