Nobody knows better what care was provided during a visit than the providers themselves. As they go about their normal workflows, electronic superbill charges are created as the patient is being seen, through by the actual medical work as it is performed. This automatic charge creation increases the accuracy of your claims and the speed of claims submission.
Does your practice’s in-house pediatric billing team rely on post-its or scribbled notes to remind them of various claim edits that need to be made before claim submission? With just a little bit of setup in OP’s Advanced Workflow and Rules Engine (OP AWARE), you’ll be able to ditch the stickies and manual claim interaction! OP AWARE is built on an action and trigger framework that you define and takes care of all the manual work for you. This cuts down on the time you spend posting and prepping charges and expedites overall claim turnaround time.
OP is proud to partner with three industry-leading clearinghouses— Availity, InstaMed, and Waystar. All three solutions are fully integrated with OP, enabling insurance and claim information to flow seamlessly between our solution and theirs.
What if you could see if your claims don’t meet payer guidelines before they’re submitted? With OP’s integrated Claim Scrubber, you can! Combine Claim Scrubber functionality with OP AWARE, and you have a dynamic billing solution that combines your billing expertise with your payer’s claim requirements, improving the likelihood of your claims getting paid the first time, every time.
To get the most out of OP’s billing and financial solution, partner with our Pediatric RCM Services, a team of pediatric billing experts who are committed to employing a combination of both good pediatric billing practices and active monitoring of claim performance to improve the financial outcomes of pediatric practices.