5b - Electronic Claims - Next Steps

All-in-One Integrated Claims Management

WellSky Personal Care’s integrated electronic claims allow agencies to manage the round-trip revenue cycle management for claims quickly and efficiently. WellSky Personal Care is integrated with Change Healthcare, a leading clearinghouse system providing end-to-end revenue cycle management that helps streamline workflows and simplify collections -- making it easier to get paid by patients and payers. It's essential that your revenue cycle processes are operating at peak performance. Change Healthcare’s integration with WellSky Personal Care alongside the Revenue Performance Advisor management portal can help:

One-click claim submission
Track claim status, edit, correct, and re-submit claims
Log into Revenue Performance Advisor for advanced claims management
View payment notices related to associated claims
Track A/R using WellSky Personal Care's Receivables reports

Self-Serve Electronic Claims

WellSky Personal Care makes it easy to generate electronic insurance claims (837) in the same way as the automated process. However, the contrast is that agencies must manually download and submit the electronic claims file to the payer or preferred clearinghouse directly. Agencies must manually enter payment information and track claims status outside of WellSky Personal Care. If a denial or payment issue arises, agencies can update care logs and invoice details in WellSky Personal Care; however, the agency must manually resubmit the claim to the payer. Payment information is not automatically reflected in WellSky Personal Care.

Flexible options to suit your agency’s requirements

Leverage the integration with Change Healthcare to manage your entire claims revenue cycle from within ClearCare or download your claim data in 837i/p format to submit claims manually and manage the revenue cycle directly with the payer or preferred clearinghouse.

Simplify reconciliation and reporting

Link payment information to invoices in ClearCare. Use existing financial reporting and ClearCare’s QuickBooks integration to track electronic claims activity.

Submit, track, and manage claims easier

Claims are validated and scrubbed before submission, helping to reduce errors and rejections. Change Healthcare has a first-pass clean claims rate of 99%.

Reduce time on the phone with payers

Verify eligibility and benefits coverage. Our nationwide connectivity with thousands of payers helps simplify and automate the entire process.

Optimize cash flow

Simplify rejections and denials management. Perform real-time edits on rejected claims and resubmit within minutes. Streamline denials with pre-populated appeal letters.

Spend more time with clients and less time chasing revenue

Performance Advisor helps streamline workflows, facilitate faster payment, and enhance client satisfaction.

Electronic Claims (eClaims)

5. Next Steps

What is eClaims?

All-in-One Integrated Claims Management

Why Change Healthcare?

Self-Serve Electronic Claims

How does it work?

Compare your options