Health Plans and Payers

Data Submissions and Reconciliation Suite: Reconcili8

Woman sitting at desk working on data sheets on a computer with text that reads Reconcili8 Data Submissions & Reconciliation Suite.

Consolidated End-to-End Visibility into Member Claims Data

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.

Try Veradigm’s Submissions & Reconciliation Product, Reconcili8


Streamline Your Submissions & Reconciliation

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:

  • Consolidated encounter book of record for end-to-end visibility into member claims data and for complete and accurate tracking and status-monitoring of all encounters
  • Configurable workflows for batch corrections, reviews and approvals, and re-submissions to enhance workforce efficiency
  • Seamless EDI channel connectivity via integration with our industry-leading trading platform

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.

Learn More About Veradigm’s Solutions for Submissions & Reconciliation, Reconcili8

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