A Simplified In-House Billing Experience
Imagine a billing process so streamlined, that it transforms the often-complex journey from patient documentation to revenue into a seamless flow all within your EHR. We’re talking about minimizing claim interactions, simplifying patient balance management, and providing fully integrated support across the entire claim cycle, effectively turning your in-house billing into a smooth, predictable engine.
From Documentation to Dollars
Electronic superbill charges are automatically generated in real-time as providers document their visits. This streamlines the claim creation process, minimizes errors and missing charges, and makes sure that you're billing for all your work.
Reduced Manual Claim Interaction
Gone are the days of relying on post-its as reminders for various claim edits needed before and after claim adjudication. Our customizable Rule Engines are built on an action and trigger framework, and cut down on the time you spend posting and prepping charges and payments โ expediting your overall claim turnaround time.
Simplified Patient Balance Management
From combined family statements to a Patient Collections module based on financial guarantor, OP simplifies working outstanding balances and the management of delinquent patient accounts.
Fully Integrated Claim Cycle Support
We're proud to partner with three industry-leading clearinghouses โ Availity, InstaMed, and Waystar. All three solutions are fully integrated with OP, enabling insurance, claim, and payment information to flow seamlessly between our solution and theirs.
- Full-cycle electronic claim processing – Claims go out and acknowledgment reports and front-end rejections come back, often within hours. This quick turnaround means you wonโt have to wait days to find out if a claim was stopped at the clearinghouse โdoorโ.
- On-demand claim status updates – No more waiting on hold or being forced to various payer websites.
- Electronic payments – With the click of a button, electronic remittances (ERAs) come directly into OP and are mapped to outstanding claims for instant approval and posting to patient charts.
- Payment of patient balances – Credit cards saved on file make it easy to collect patient balances.
Level Up Your In-House Pediatric Billing and Boost Your Revenue
What if you could see if your claims don’t meet payer guidelines before they’re submitted? With OPโs integrated Claim Scrubber, you can! Combine Claim Scrubber functionality with our Rules Engines, and you have a dynamic billing solution that combines your billing expertise with your payerโs claim requirements, improving the likelihood of your claims getting paid the first time, every time.
To get the most out of OPโs 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.