The volume of data required for government programs today can be overwhelming. Veradigm’s Data Submissions and Reconciliation Suite, Reconcili8, eases those burdens with end-to-end submission and reconciliation processes that ensure regulatory compliance and mitigate revenue leakage. Reconcili8 enables complete and accurate tracking and status-monitoring of all encounters. You can manage the entire encounter lifecycle with impactful data visibility from claims intake, validation process, error correction, encounter generation, and response file processing.
Configurable workflows allow batch corrections, reviews and approvals, and re-submissions to enhance workforce efficiency. Intuitive Operational Dashboards into member claims data for complete and accurate tracking and status-monitoring on all encounters.
Veradigm’s Data Submissions and Reconciliation Suite, Reconcili8, provides a single, comprehensive system for all lines of business and delivers end-to-end lifecycle visibility for this system. Reconcili8 performs effective upfront data validation and enrichment as well as service level agreement-prioritized exception management. Reconcili8 also delivers deep expertise in encounter business operations and mandates.
Key Features Making Reconcili8 the Most Flexible and Reliable Submissions Solution:
The Centers for Medicare and Medicaid Services (CMS) and State out-of-the box modular approach provides flexibility to accommodate to your health plan’s customer business rules, while being versatile enough to support regulations, format changes, and workflows specific to various government programs, enabling continuous compliance.
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