Identify unbilled revenue prior to payer submission
Healthcare organizations have been confronted by multiple challenges in recent years, including:
- Complex coding and billing processes
- Financial hardship
- Increased cost of denials — as much as 20% of revenue cycle expenses
- Workforce pressures
Optum Claims Manager can help you improve cash flow by automatically finding billing and coding inaccuracies — before payer submission. Some clients have achieved up to a 23:1 return on investment.
We have always been impressed with the results from Claims Manager, and the efficiency, accuracy and cost savings this solution consistently delivers.
VP of revenue systems, Claims Manager client
Key benefits
Claims Manager helps you reduce denials and account receivable days while increasing revenue, productivity and efficiency.
Prevent claim denials
Our advanced and comprehensive editing engine combined with custom editing tools effectively pre-screen claims prior to submission.
Realize additional cash flow
Automatically identify and capture revenue for unbilled services by alerting providers right away in the existing provider workflow.
Maintain compliance
Our automated solutions built by clinical and technical experts help you stay current with government and commercial billing regulations.
Re-focus resources
Focus more on the patient experience with our team of clinicians, developers and engineers creating, maintaining and editing rules daily.
Seamless integration that works with you and for you
Learn how Claims Manager can fully integrate with your practice management system so that users can work within existing systems and workflows. Fill out this quick form for a representative to contact you.
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Product information and resources
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Product sheet
Claims Manager
Learn more about how Claims Manager can help your organization.