Your data comes in from the systems you use.
Professional and institutional claims arrive through:
- An API connection that lets your systems exchange data directly.
- A scheduled export from your existing system.
- An automation that runs and pulls reports the same way a person would, without a direct back-end connection.
- Charges
- Payments
- Adjustments
- Denials
- Accounts receivable (AR)
- Bad debt
- Fee schedules
Next: the latest claim or encounter information is ready for the algorithm.