Claims Management Solutions

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Streamline reimbursement. Strengthen financial performance.

Veradigm Payerpath claims management solutions provide a complete, web-based system for managing every stage of the reimbursement cycle, from eligibility verification through payment. Built to ensure cleaner claims and faster reimbursements, this connected solution helps practices reduce denials, automate workflows, and maintain clear visibility into financial performance.

By eliminating manual processes and reducing errors, Veradigm helps your staff spend less time on administrative tasks and more on delivering quality patient care.

Speak with Veradigm today to request a demonstration of our suite of end-to-end revenue cycle solutions.

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Smarter claims management from start to finish

Automate the identification and correction of missing information, incorrect codes, and data-entry errors before submission. With Veradigm Payerpath, you can reduce claim rejections, improve cash flow, and achieve greater operational efficiency.

Key benefits:

  • Reduce rejections and denials
  • Accelerate reimbursement cycles
  • Improve staff efficiency through automation
  • Gain visibility into claims performance and payer trends

Comprehensive tools for complete control

Claims management Automatically detect and correct errors that lead to rejected or denied claims, ensuring cleaner submissions and faster reimbursements.
Remittance management Receive automatic alerts when electronic EOBs are available for review, helping your team reconcile payments quickly and maintain financial accuracy.
Notes and reconciliation Increase efficiency by reconciling submitted claims with payer and trading partner reports, responses, and electronic remittances—all within a single, connected platform.
Coding, compliance and reference tools Access a robust online coding library featuring current guidelines, documentation, and policy updates to simplify complex coding and regulatory requirements.

Integrated solutions for a connected revenue cycle

Workers’ compensation

Powered by Jopari, Veradigm Payerpath Workers’ Compensation streamlines every step in the reimbursement process, from eligibility verification through patient collection, all within one integrated platform.

Medical claim attachments

Accelerate adjudication and reduce costs with secure, electronic delivery of claim attachments. Veradigm integrates documentation, payment, and adjudication systems to connect with hundreds of payers, eliminating manual processes like scanning and indexing.

Eligibility and benefits inquiry

Access real-time eligibility data to verify patient insurance coverage before visits. Prevent delays in reimbursement, improve cash flow, and provide a smoother patient experience.

MEDICAL PRIOR AUTHORIZATION (mPA)

With automated medical prior authorization services, practices can instantly verify plan and group requirements, catch errors before submission, route requests through each payer’s preferred channel, and track all statuses in one convenient location.

Drive accuracy, speed, and visibility across the revenue cycle

With Veradigm Payerpath claims management solutions, your organization gains the automation, insights, and control needed to improve reimbursement performance. Integrated within the broader Veradigm Payerpath suite, these tools form a connected ecosystem designed to optimize workflows, reduce administrative costs, and enhance financial outcomes.


Explore more from Veradigm Payerpath

Looking to take efficiency even further? Explore additional Payerpath solutions that support every aspect of your revenue cycle:

Practice productivity tools

Automate day-to-day operations and improve business processes.

Eligibility and benefits solutions

Verify coverage and prevent denials in real time.

Patient payments and collections

Streamline collections and improve patient satisfaction.

Together, these Veradigm Payerpath solutions empower your organization to achieve operational excellence and long-term financial success.