More accurate, complete claims the first time
Preventing claim denials is a top priority for health care providers, and Optum Provider Communication Gateway is here to help. Our innovative solution offers a shift-left approach to help health systems proactively address potential issues and improve claims management.
Provider Communication Gateway can help:
- Prevent denial rework and lower write-offs
- Reduce provider abrasion
- Increase provider adoption and claim accuracy
- Decrease days in accounts receivable
Easy integration into your claims management system
With Provider Communication Gateway, providers gain seamless access to payer rules directly within their existing workflow. This integration into your claims management system enables near real-time retrieval of the latest rules and guidelines, ensuring that providers have the most up-to-date information at their fingertips..
How we help improve claims management
Prevent denials
Preventing denials and rework with our advanced technology
By leveraging our advanced technology, providers can proactively identify and address potential issues before they lead to denials, saving time and resources.
Streamline your workflow
Streamline your workflow with direct access to payer systems
With direct access to payer systems, providers can retrieve the latest rules and guidelines without the need for manual intervention.
Improve operational efficiency
Improve operational efficiency with direct integration
With direct integration into your existing workflow, providers can reduce administrative burdens and optimize revenue cycle management.
Enhance revenue
Enhance revenue with minimized denials
Minimizing denials leads to improved cash flow and increased profitability, allowing you to focus on delivering quality care to patients.
Our rejections went from an average of 83 per month to an average of 12 per month with PCG.
Coding & Billing Manager
PCG Client
Key benefits
Prevent denial rework and lower write-offs
Our solution introduces payer-specific rules earlier in the revenue cycle, edits appear at the point of billing where it is least costly to repair any misalignment.
Improve provider utilization
Provider Communication Gateway alerts providers of points of misalignment, and provides specific and actionable messaging.
Reduce accounts receivable
No custom edits are needed for unique reimbursement policies, they are already in the system.
Product information and resources
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Download fact sheet
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Fact sheet
Take your claim denials prevention strategy to the next level
Discover how Provider Communication Gateway can help create cleaner claims at the point of billing.
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