Claims Administration

The Affordable Care Act encourages healthcare providers to work together to improve coordination among organizations to support better care, and this level of coordination also has the potential to dramatically improve claims adjudication and payment processes.

Apprio offers healthcare informatics and EHR solutions that assist government and private sector customers with claims adjudication and payment by:

  • Allowing organizations to send and receive medical documentation electronically to support claims adjudication and payment
  • Speeding disability and payment determinations through the quicker receipt of supporting materials
  • Using standards-based systems that require information in a computable format to aid in using business intelligence systems to track for quality care and help detect fraud