Xpeditor Features

Xpeditor was engineered with you in mind—we listened to you and then built an electronic transaction management system around innovative features able to transform your business office. The following are some of the powerful features of this remarkable system.

Claim editing and workflow

Edits and conversions are applied to claims to ensure proper claim transmissions. Errored claims are immediately identified, with errors or omissions clearly flagged for efficient correction and release.

The validation process includes edits based on payer rules and government regulations, as well as custom edits and converts created to meet your unique needs. XpressBiller, a value-added feature of Xpeditor, provides a simple, step-by-step process for users to create custom programming based on criteria such as medical necessity errors, claim types or facility codes. Specific actions can be triggered, including splitting a claim, adding codes, or routing claims to special queues in workflow.

Xpeditor’s customizable workflow capabilities enhance productivity by arranging claims into client-defined work queues, so that a biller’s default view contains only those claims for which she is responsible. By attaching notes and assigning workflow statuses, billers may route claims to other areas for review and correction—paperlessly, quickly, efficiently.

Claim tracking and history

Xpeditor maintains a complete audit trail beginning with a claim’s creation or import, even linking to the file of origin for troubleshooting. Every action performed on a claim is recorded with the date, time, and user name as well as details about the related action. The exhaustive History database of transactions processed by Xpeditor is searchable, so you can find claims, remits, eligibility responses, etc. based on very broad or very narrow selection criteria.

Comprehensive reporting

Accurate, comprehensive, and accessible reporting is crucial to effective claim management. Reports provide data on claims in user-defined date ranges, claim aging, errors, and much more. If a standard report doesn't meet your needs, use Crystal Reports to design your own template and add it to the Xpeditor Reports Menu. All reports can be viewed online, printed, saved to a file, or e-mailed to a co-worker. Additional important reports, like payer responses, are available on the ASP Portal.

Eligibility verification

The eligibility checking feature allows you to verify that patients are eligible to receive medical benefits through a particular insurance carrier in real time. Eligibility checking helps ensure prompt payments by identifying coverage up front, leading to faster payments and fewer payer rejects. Eligibility checks may be performed one by one or by batch, or may even be initiated programmatically based on pre-defined criteria.

Remittance management

Remittance management with Xpeditor is more than just posting payments to patient accounts. Payer-rejected and denied claims automatically trigger the return of a claim to the active database for rebilling. Paid claims automatically trigger the creation of secondary claims and EOBs. A wide range of reporting options is available for remittance reports. And, the 835 is available for import into your core Information System.

Claim status

The claim status checking tool lets you know where a claim is in the claim process after it has been transmitted by Quadax. Inquiry and response happen in real time, keeping you up to date on a claim’s payment status.