RelayHealth provides government and commercial payor connections to healthcare practices. The service enables professional claims processing via electronic exchange or paper, allowing providers to connect easily with more than 1,800 payors nationwide. Standard ANSI 837 professional formats are output to payors for compatibility with standards under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). RelayHealth’s claims processing center, which is accredited by the Electronic Healthcare Network Accreditation Commission (EHNAC), efficiently formats, tracks and reports claim information, resulting in cost-effective, clean claim submission and processing. RelayHealth processes more than 1.48 billion transactions annually with more than $1 trillion in claim value.
- Electronic Claims Submission – Through a single point of access, connects providers with HIPAA standard transactions, which reduces A/R days, increases operations efficiency, enhances profitability and lowers administrative costs.
- Eligibility Verification – Automates the verification process for insurance eligibility from payors, saving staff time, streamlining registration, and reducing the errors and omissions that lead to denials. Eligibility verification can be processed directly from the Lytec scheduler.
- Electronic Remittance Advice – Captures remittance advice from payors and translates into a standard format for automatic posting, which automates payment posting, eliminates data entry errors, maintains accurate A/R days, and lowers administrative costs.
- Electronic Patient Statements – Patient statements and collection letters via RelayHealth’s print service center to reduce costs, save staff time and improve patient satisfaction.