Perform and Integrate Transaction Processing Services within your RCM Platform with Parathon® TS
JDA provides the following transaction services by customizing them to the unique needs of our clients' revenue cycle workflow:
- Claims Clearing, fully integrated with other revenue cycle processes
- Eligibility
- Third Party Notification
- Claim Status
- Medicare Online Transactions (submission and follow up)
- Remittance Advice Posting
- 835 Web Tool
- 835 validation (retrospective analysis of the accuracy of payment posting)
- Patient Registration (validation of addresses, financial profiling)
- ATB Validation
Parathon® TPAssist claims tracking and reconciliation service was designed for the needs of Trust Funds
and Third Party Administrators
TPAssist provides the middleware to support a single information point for end to end claims tracking, adjudication and process verification resulting in better management of an organizations resources and margins.
Through data integration and workflow automation TPAssist's capabilities include:
- Automated claims and adjudication management including claims follow-up, process verification and payment accuracy
- Claims status including automated claim calculations, corrections and clearing of claims
- Member eligibility verification for Medicare and Medicaid
- Integrated upload of member Benefit Enrollment information
- Integrated upload of Employer contributions into the Benefits Administration System
- Ability to support the validation of all claim, enrollment and contribution processing activities
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Mission
