Start upstream of the claim queue
A queue shows the work that has already entered a process. Claim identification asks an earlier question: which opportunities have not entered that queue yet? Navigator connects RCM software and clearinghouse information to help teams surface potential NSA claims and organize them for review.
Connect the information needed for review
Clinical records, claim details, and remittance information contribute different context. Bringing them together supports identification and extraction. An identified opportunity still needs eligibility review before the team decides how to proceed.
Carry the context into the next action
After identification, Navigator connects the work through negotiation, arbitration preparation and offer submission, determination activity, and payment follow-up. Automations help manage repetitive work while the team retains judgment and direction.
Keep collections connected to the original claim
An award and a collected payment are different stages. Keeping determinations, outstanding payments, and follow-up activity alongside the claim helps the team see what remains to be done.
What to discuss in an integration demo
- The RCM software and clearinghouses your organization uses.
- How your team currently identifies and reviews potential NSA claims.
- Where documents, correspondence, and follow-up tasks are managed.
- How awards and payment collections are tracked.