XENA Health

XMBO - Claims Posting

Our claims posting process automates the claim process from initial creation of the claim to transaction transmission to the payer. XENA Health's claims processing is leading the industry with intuitive on-line entry (replicating the 1500 form). On-line, real-time data entry editing facilitates the correct entry of a claim the first time.

Key features include:

  • online claim entry with real-time editing capability
  • online error messages and help functionality
  • online submission of claim
  • intuitive, easy to use interface; serves as an educational tool
  • code look-ups during data entry
  • robust rules engine
  • all-inclusive edits
  • ability to customize additional edits
  • on-going enhancements and maintenance of the rules engine
  • automatically generates 837 transactions clearinghouse processing

By increasing first submission rates, your staff will see a significant decrease in their data processing time. This will allow them to focus on tasks that add value to your business and your customer service offerings including:

  • claims denial management
  • analysis of claims processing trends and root cause analysis
  • payer management
  • provider consulting