AI systems are denying your claims incorrectly. Payers denial rates are skyrocketing. Use our KS ERA Reconciler product to automatically reconcile every penny and identify incorrect denials, appeals, and make sure that no revenue is left behind.
Why Choose Our
KS ERA Reconciler?
Time Efficiency
It streamlines the reconcile process, significantly reducing the manual effort needed to reconcile claims. This enables your team to dedicate more attention to high-value tasks.
Improved Cash Flow
With timely identification of underpayments and unpaid claims, MSOs and VSOs can improve their cash flow and maintain financial stability.
Increased Accuracy
Manual reconciler is prone to errors, often leading to revenue loss. It's automates the entire process, ensuring unmatched accuracy in claim validation.
Key Features
Cross-Verification of Payments
The application matches the claims submitted by healthcare providers with the payment information provided by the payor. It identifies discrepancies between the requested amount and the paid amount, highlighting claims that are underpaid or unpaid.
Revenue Recovery
By identifying unpaid or underpaid claims, ERA helps MSOs and VSOs recover lost revenue. The platform provides actionable insights and tools to chase down unpaid amounts efficiently.
Chargebacks and Appeals Management
Simplifies the chargeback and appeals process by tracking claims that require follow-up and monitoring their status. It provides clear insights into pending appeals and chargebacks, helping users stay informed about unresolved claims and deadlines. This ensures better organization and improves the chances of successful claim recovery.
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Intuitive Dashboard
Features a user-friendly dashboard designed to simplify. It provides insights into unprocessed ERAs, claim aging, pending appeals, and new ERA uploads. The dashboard also alerts users about duplicate files and tracks appeals upheld, ensuring efficient monitoring and decision-making.
Reporting
Generates detailed reports for claims that require additional attention. Whether it's an underpayment, denial, or missing payment, the application identifies and flags these cases, ensuring timely resolution.
Compliance and Security
The application ensures compliance with HIPAA and other industry standards, safeguarding sensitive claim data. With robust security protocols, your data remains protected.
KS ERA Reconciler Workflow
837 File Upload
Upload all outbound claim files to payers for smooth and efficient processing.
835 File Upload
Import and manage ERA (835) files received from payers to streamline claims reconciliation.
ERA Process Summary
Displays ERA data, including the number of reconciled claims, matched and unmatched claims, progress tracking, and archiving options.
Claims Auto-Matching and Reconciliation
The application automatically cross-checks claims with the payment details in the file for accurate verification.
Revenue Recovery Actions
Quickly identify denials for appeal, generate appeal packets, and efficiently manage the appeal process, including no responses, duplicate denials, multiple payments, and split payments.
Detailed Reports
Generate comprehensive reports highlighting discrepancies, actionable insights, and potential resolutions.