Providing AUTOMATED 835 to EFT Reconciliation
Big Data Healthcare is focused on improving healthcare results through data intelligence.
Our automation solutions help Banks and Healthcare Providers comply with the American Healthcare Act (AHCA), the Council for Affordable Quality Healthcare (CAQH), and the NACHA mandated ERA / EFT Operating Rules.
Data Intelligence for Healthcare
FUSE is the industry’s premier Bank, Clearinghouse, and Billing System neutral offering; we work in tandem with these existing technologies. The solution increases revenue, shortens the associated revenue cycle, and significantly decreases manual processing costs.
ERAX (ERA X-Change) is our automated reconciliation offering that adds extensive customizable splitting and processing logic to any existing Clearinghouse, Bank, EMR/EHR, Lockbox and/or Document Management System; ERAX compliments these existing platforms and technologies.
Accelerated Cash Posting
Our software enables you to take advantage of automated 835 to EFT matching and Explanation of Benefits (EOB) to ANSI 835 conversions. Eliminate human error and manual posting costs by engaging our automation solutions.
We Work With Your Existing Technology
FUSE works in conjunction with your existing bank, clearinghouse, and billing system. Instantly gain visibility / access to your MATCHED 835s, as well as a dedicated workflow cue for
Leave the heavy lifting to us. When leveraging our automation, your valuable FTE resources can focus on revenue-generating tasks, i.e. denials, appeals, underpayments, etc.
Zero Pay Reporting
Gain instant visibility into your “zero payments.” Whether it’s a coding, eligibility, insurance, or keying related issue, you can determine the root cause of the denial.
Immediate Visibility into PLB Adjustments.
RECON provides visibility into PLB reason codes allowing providers to reconcile PLB detail to their General Ledger, monitor payer tendencies, and automate cash posting and reconciliation. BDHC has the ability to identify all PLB segments (interest payments, forwarding balances, overpayments, etc.) in the 835, allow for customized categorization of these PLBs to produce robust detailed client reports, and offers an interactive approach for variances to easily be worked within the FUSE portal.
Denial Management and Reports
Example – you need to calculate your First Pass Rate, Primary Denial Rate, and Net Collection Rate for ICD-10 code R06.02 for the past two years…what do you do? With SWITCH, our solution enables you to immediately generate an analysis out by procedure, payor, or a combination of both.
Dedicated Onboarding and Support
Our Healthcare Revenue Cycle Management (RCM) roots run deep! We have a dedicated on-boarding team that provides hands-on executive level support to meet your critical timelines.