账单审核，为您优化
Enlyte's cutting-edge bill review platform uses advanced technology to optimize medical bill processing for claims organizations. Employing the latest fee schedules and benchmarks, our platform ensures precise claims management. Seamlessly integrated with Enlyte's pharmacy and clinical software, our system enhances accuracy and provides a comprehensive view, 实现高效和透明的理赔管理.
业界领先的账单审查软件 & 服务
From intelligent workflows expertly customized to your business to integrated solutions, our bill review platform can help you accurately adjudicate claims, 提高运营效率，控制成本.
一流的技术 & 专业知识
Contain costs and spend more focused time on high-value tasks
深度系统集成
加快医疗账单的消化和处理
及时发布收费表
保持法规遵从性
高度可配置工作流规则引擎
Increase claim processing efficiency and improve bill review accuracy
自动化和直通式处理
Increase automation through powerful, intelligent business rules and machine learning
根据您的需求量身定制的交付模式
Enlyte offers its medical bill review platform to its clients via one of three methods:
授权软件
业务流程外包
混合模型
SmartAdvisor
SmartAdvisor is a leading medical bill review software designed for efficient cost containment. 这个自动化的, customizable platform uses advanced technology to ensure accurate, 及时的收费表信息, 与索赔管理系统无缝集成, ppo, 专业网络, 电子账单亚博真人官方版APP. SmartAdvisor helps organizations accurately evaluate medical charges, 遵守法规, 并实现显著的节约. 最重要的是, it optimizes the claims adjudication process to ensure the best outcomes for injured employees. SmartAdvisor is essential for enhancing operational efficiency and maximizing cost savings.
DecisionPoint
The DecisionPoint software suite is expertly crafted for auto casualty insurance carriers and third-party administrators, offering a flexible solution for bill review requirements. Our comprehensive suite of integrated solutions enhances DecisionPoint's capability to streamline the claims management workflow, 确保医疗费用准确、公平地重新定价. This leads to cost containment, improved consistency and boosted operational efficiency. 理想的优化索赔处理, DecisionPoint确保平滑, 更有效地管理汽车保险理赔, 提高医疗计费的准确性和公平性.
成本控制亚博真人官方版APP
AuditPro
Our AuditPro bill auditing solution employs a unique blend of technology, 检测账单错误的数据和专业知识, and validate and correct medical codes and charges against medical records for bill review pricing. The AuditPro solution addresses a wide range of bill types including professional and facility bills.
专业法案审查
Enlyte’s specialty bill review solution provides proven and substantiated usual and customary pricing to help our customers consistently pay out-of-network medical bills when fee schedule pricing is exempt. Our specialty bill review solution is supported by a team of experienced bill reviewers, 护士, 法律和合规专家.
谈判服务
Enlyte's direct-to-provider negotiation services helps secure discounted rates on medical bills using a variety of strategies including prompt-pay, 数据增强和战略谈判. Our negotiation services can be utilized across workers' compensation and auto claims.
ePay
When it comes to reducing claims expenses and becoming more efficient, implementing an electronic payment process is a proven way to reduce payment costs to your claims organization immediately.
- 取代低效的纸质支付
- 集成在账单审查工作流程中
- 帮助加快支付周期时间
- 允许供应商选择首选的付款方式
eBill
Our eBill program offers cutting-edge electronic medical billing services tailored for the insurance industry, leveraging advanced technology to significantly reduce operating costs for both payers and payees. Designed to streamline electronic billing between health care providers and claims processors, eBill有效地处理第一方和第三方索赔, 以及工人的赔偿要求. This program not only simplifies the billing process but also ensures compliance with state reporting requirements. Integrated with a comprehensive suite of casualty solutions, 电子帐单加快周转时间, enhancing the overall efficiency of claims processing and billing.
需要更多帮助? 与专家一起外包
我们的技术支持服务处理您的必要, but often expensive internal operational tasks so you can shift focus to your business’ core competencies. 当你用Enlyte外包的时候, we’ll serve your medical claims with our premier services and bill review expertise, 给你信心, satisfaction and trust you need when selecting a bill review services provider. You can be confident your medical claims are being served by the industry’s premier service provider with decades of bill review expertise.
Our team provides comprehensive bill review services, including:
- 医疗帐单处理
- 邮件收发室操作
- 文档管理
- 数据捕获
- 供应商联络中心
- 专门的第三方责任需求服务
的见解
亚博真人官方版APP & 的见解
Get the latest insights and industry updates you need to know.
GenAI在植物育种中的应用探索&C
In this podcast, we explore Generative AI's role in improving claims management. GenAI提供了巨大的机会, leaders must ensure claims management knowledge and experience is integrated into these programs.
应对不断上升的第一方汽车索赔医疗费用
Enlyte’s auto bill review solution reduced medical bills by an average of 80%— so our customer paid 20 cents for every dollar charged. The injured individual received five times the amount of the medpay/pip benefit. 在这个案例研究中了解如何.
如何利用数据影响索赔决定
Check out key insights from our exclusive leader-to-leader webinar with Sentry 保险. In this webinar you'll discover how data is influencing claim decisions and grab valuable takeaways for your team.
亚博真人官方版APP
Combine industry-leading technology with deep market expertise to achieve exceptional claim outcomes. Schedule a consultation to learn more about our comprehensive suite of integrated casualty services and solutions.