Navicure Claims™

Navicure® is your single source for submitting primary or secondary claims, electronically or on paper. Navicure also offers institutional claims processing and enhanced claim edits.

Electronic Primary and Secondary Claims
Look after patients. We're looking after you. Providing patient care is what your practice does best. But your physicians can't practice best medicine if they don't get paid for what they do. That's where Navicure comes in. Navicure's leading Web-based claims management solution is designed to go beyond the traditional clearinghouse to streamline your primary and secondary claims process, enabling you to collect more money in less time with less effort.

All electronic transactions are conducted in real-time, so you can immediately correct and resubmit claims data with the click of a mouse. In addition, our dynamic rules engine gets bigger and smarter with every claim that it scrubs and processes. Unlike client/ server-based software, Navicure's Web-based platform enables its community of users to benefit from one another. When a claim is rejected by one user, that rejection reason becomes an additional edit for thousands of other users, thereby increasing first-pass rate for the Navicure community.

Features:

• Claims scrubbing and editing
• Submission and tracking
• Rejected claims management

Benefits:

• Reduce A/R days
• Increase operational efficiency
• Lower administrative costs
• Enhance profitability
• Process more claims with less work
• Spend less time researching rejections
• Track claims like FedEx® tracks packages
• Identify and stop procedural billing errors once and for all
• Get paid in a timely fashion

Paper Primary and Secondary Claims
Navicure offers a paper solution for payers who cannot receive primary and secondary files electronically. Submit your files electronically to Navicure and we will we do the rest.

Institutional Claims
Submit your institutional claims electronically with Navicure's institutional claims. Our institutional claims processing solution allows you to streamline your claims processing, so that you can collect more money in less time, with less effort.

Enhanced Coding/Editing
Medical necessity and correct coding submission errors can significantly increase the time it takes to get your Medicare claims paid. However, with Navicure Medicare Compliance Edits™ – medical necessity and National Correct Coding edits – your practice can prevent these errors and avoid unnecessary rejections and denials.

Plus, if your practice requires unique edits to meet internal needs, Navicure will develop custom edits to your specifications.