Overview
Clarus® insurance processing streamlines insurance claims management to enable clean claims submission for faster reimbursement. It is integrated with Patient Registration, Material management, Billing, Medical Records and Account Receivable.
- Patient Registration: – The claim related patient information like Patient's name, guarantor's name, address, payer details and visit details, etc and the assigned Unique Medical record number (MRN) and Master Patient Index(MPI), are captured in Patient registration module.
- Material Management: – Sends the charges in the patient billing for the items provided to the respective patient.
- Billing – Allows processing of charges. Charges are processed for both individual patient and batch of patient.
- Medical Records – Medical records module provides the coding information to the claim, which includes procedures codes and diagnostic codes.
- Account receivables – Sends the details of the payment made by the payer and sets up the current payer to secondary or territory payer once primary or territory payer makes the payment.
Features
- Supports both new UB-04, UB-92 and new 1500 and HCFA1500claims.
- Automatic work queue generation.
- ANSI standard and printed claim output supported.
- Automatic generation of secondary and tertiary claims after primary payment is entered.
- Supports print image and pre-printed formats.
“ Introducing Paperless Hospitals By Clarus® ”
Clarus® Modules
Clinical Management
General Accounting
Patient Accounting
Ancillary Modules
Tools / Add-Ons