Lifetrenz Hospital - OP Insurance & Billing
Lifetrenz System is designed in such a way that the Revenue Cycle Management (RCM) activities can be distributed among various users of the System and not limited to just the Insurance or Medical Records teams. The Front Desk executive participates in this process by correctly capturing the Insurance details of the patient. All the Insurance details, such as insurance member id, receiver, payer and network details, plan, co-pay and deductable components etc, that are captured by the Front Desk executive is used to manage all the RCM workflows, starting from Eligibility Check, ePrescription, Insurance Authorisation, Claim and Remittance Advice. Thus, with Lifetrenz Solution automating all the processes for you, each user in your Healthcare Facility can play a part in the RCM process and help reduce expenses for a large Insurance or Medical Records team.
With Rate Cards configured in the System for every Receiver-Network combination which your healthcare facility has a contract with, Lifetrenz automatically picks up rates for every item based on the Front Desk user's selection of Insurance Receiver and Network, seamlessly. This also ensures that Receiver-Network combinations for which your Healthcare facility doesn't have an insurance contract are not accepted by the Front desk and plugs in revenue losses resulting from rejections later. Lifetrenz also provisions for automatically handling complexities in billing for cases like Maternity and Dental and certain specialties like Psychiatry, Ophthalmology etc. The System automatically handles all the charges and bill details without the front desk user having to think about the complexities in these scenarios, through configurations in the System.
Once the insurance details are captured, the insurance eligibility check for the patient can be done with just the click of a button from within the application, leveraging Lifetrenz's seamless integration with the DHPO, without having to go onto the portal of individual insurance company/ receiver.
Some of the Key Features
- Lifetrenz's Billing processes fully automates Billing for complex insurance scenarios
- Fully integrated to DHPO for electronic insurance eligibility check
- Business Rules driven auto billing that eliminates discretion at Front desk
- One click billing for all types of payers - Insurance/ Self pay/ Corporates
- Patient Level ledger with alerts on outstanding patient payable
- Authorisation based discount management
- Handles multiple payment modes
Request a Demo
a single click
