This BOT is majorly used for the appeals process. Using the patient demographics and the date of service this BOT retrieves the Medical records from the hospital systems.
All the claims that require appealing will be pulled by the BOT for which cover letters will be auto-generated, following which the retrieved medical records will be attached.
The prepared appeals will be automatically faxed by the BOT to the respective payer. It will also update the successful transmission of the same in the billing system.
This BOT will automatically pull the claim status from the payer portal and update the same in the billing system. Wherever applicable this BOT will also take the next step toward any denials.
We have a separate BOT that pulls the status of litigated claims from the judicial website.
Claims that are rejected at the clearing house are fetched by this BOT and wherever applicable the BOT will automatically send the corrected claim.