The NaviMedix Claims Capture and Transmission Module offers traditional claims processing capabilities that focuses on providers who have been resistant in moving to an electronic claims processing environment. The NaviMedix Claims Capture and Transmission Module enables health plans to further electronic processing of claims to take advantage of additional cost savings and enables providers to effectively transmit claims electronically, significantly reducing paperwork and manual efforts.

Functional Capabilities:

• Claim Preprocessing Services
• Institutional Claim Submission
• Encounter Submission
• Professional Claim Submission

Health Plan Success:

• Increased number of claims processed electronically by more than 100,000 per month.
• Realized savings of $5 per claim processing via the NaviMedix Claim Capture and Transmission Module instead of EDI and paper-based methods, all while slashing the provider reimbursement cycle by more than 70%.

Provider Success:

• Providers using the NaviMedix Claim Capture and Transmission Module have realized significant costs savings by eliminating transaction fees associated with processing claims.
• The NaviMedix Claim Capture and Transmission Module enables providers to process claims with more than 1,000 different healthcare payers.
• Providers have reported a 70% decrease in the reimbursement cycle.