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Save Time with Automation
Validates input for policy holders and providers, automates bill return, simplifies responses.
Observe and Adapt to Change
Productivity reporting, chokepoint identification, real-time analytics where you need them.
Move Claims Along Faster
Speed up your process with task assignment, dynamic supervision, and automatic escalations.
Genus Workflow Makes It Easy
ActiveClaim™ from Genus Technologies covers virtually all the process steps contained within a typical bill ingestion workflow.
Process Governance
Enable data-driven process evolution for managing claims.
Medical Bill Extraction and Validation
Validate data in correctly completed forms - ActiveClaim makes it happen effortlessly.
Modular Ingestion Workflows
Fits the requirements of any carrier’s system of record and adapt to changes.
Automatic Exception Escalations
Proactively sense and respond to aging items and other process exceptions.
Simple to Integrate with All Carrier Core Systems
RPA matches claims with the adjudication systems and providers with payment systems.
Communicate with Consistency
Communicate via purpose-built templates for insurance, Customer Communications Manager makes processing claims fast and simple.
How it Works
Manage the High Cost of High Volume
Claims received on standard CMS-1500 and UB-04 forms are costly and time-consuming to ingest and process. With ActiveClaim from Genus Technologies, your medical and workers’ compensation claims team can:
- Automatically verify that the patient is covered and the provider is approved for payment
- Ensure claims forms are completed consistent with your standards
- Provide dynamic supervision and oversight for manual tasks
- Automate the bill return process and escalations
- Eliminate the need for costly and time-consuming custom coding and “one-off” solution development
- Leverage complementary technologies from Tungsten Automation including Robotic Process Automation (RPA)
- Receive real-time measurements, productivity reporting and chokepoint identification
- Eliminate process chokepoints
- Create a more touchless, friction-free process
