Eligibility Verification
Access the patient insurance eligibility verification information you need with connectivity to 1,500 payers. Streamline patient payments management by integrated all collections.
Revenue Performance Advisor
An end-to-end revenue cycle management software solution for physician practices, labs, home health, medical-billing services and other providers to simplify workflows, reduce denials, optimize revenue and improve patient engagement.
Increase upfront collections
Prompt timely payments by giving patients easy-to-understand estimates of their payment responsibility and multiple payment options.
Reduce denials and gain practice insights
Streamline eligibility and benefits verification by accessing our expansive network of payers for the most up-to-date information.
Easily submit, track and manage claims
Reduce rejections by validating and scrubbing claims before submission. Get a first-pass clean claims rate of up to 99%.
Speed submissions and cut costs
Use digital options that achieve faster adjudication and reimbursement, faster responses to payer document requests and reduced risk of denials.
Integrated with MEDENT!
Revenue Performance Advisor (RPA) allows practices to send and receive all of their Electronic Claims*, Electronic Remittance Advices, and RealTime Eligibility Transactions through one clearinghouse: Optum.
- Track your revenue performance over time
- Identify trends and patterns
- Find opportunities for improvement
- Make data-driven decisions
Features
Claims Management
Help deter rejected claims and delayed reimbursements. Sort, filter, and prioritize claims based on 40 different data fields. Apply edits in real-time using our online correction tools. Resubmit claims in minutes.
Medical Claims Attachments
Speed submissions and cut costs. Spend less time reworking claims. Reduce labor, cost of postage, and supplies. Get useful reports on payment effectiveness.
Denials Management
Help optimize cashflow and gain workflow efficiencies. Leverage AI to predict which claims are likely to be denied before they are submitted to the payer. Get comprehensive denial reports with appeal letter library.
Reporting and Metrics
Customize reports to reveal your Top 10 rejected claims by each health plan. Uncover the source of problematic trends, such as repeated rejections. Compare your RCM processes to peer groups by using Benchmarking.
For more information or to receive a demo of the RPA Portal, please send a MEDENT Support Request to the ECS area.