Claims Management
Post-Acute and Long Term Care Claims Management Solutions
Facilitate rapid reimbursement through workflow automation, denial prevention tools and data-driven claims management to collect more earned revenue.
Achieve 99.7% first-pass acceptance with payers
The Industry-Leading Healthcare Claims Management Software
The Quadax claims management platform integrates with your internal billing, EHR applications and other sources of data. Automated workflow ensures claims reach billers quickly, while rules-based claim validation maximizes a claim’s likelihood of success prior to submission.
Advanced reporting and analytics help you maintain compliance and uncover trends that can be exploited for greater efficiencies and maximum reimbursement. nnA talented team of RCM experts continually monitors evolving standards and payer rules so Quadax Claims Management is always processing claims based on the latest rules and guidance.
Xpeditor
Automate Claims Management
Xpeditor automates workflow to quickly route claims to each biller based on the criteria you define, and when necessary, routes claims internally to maintain an accurate audit trail reducing the need to communicate through an external environment. Integrated workflow automation between Claims Management and EHRs and/or billing applications result in streamlined processes that improve clean claim rates, reduce administrative costs and provide the insight and control to recover expected reimbursement with speed and efficiency.
Intelligence by Quadax™
Revenue Cycle Analytics & Reporting
Intelligence by Quadax (iQ) is our all-in-one AI framework built to streamline automation, deliver predictive insights, and optimize performance across the entire revenue cycle. From patient access to denial management, iQ empowers healthcare organizations to minimize friction, accelerate processes, and drive better outcomes.
ICV All-Payer
One Solution. All Payers. Total Coverage.
Quadax’s ICV All-Payer solution transforms eligibility verification into a strategic advantage, consolidating fragmented payer data into a unified, intelligent platform. By reducing administrative complexity and eliminating guesswork, ICV empowers healthcare organizations to accelerate reimbursement and improve financial performance. Whether managing Medicare, Medicaid, commercial, or managed care claims, ICV equips your team with automation and actionable insights to ensure cleaner claims, faster payments, and stronger outcomes.
Auto Fix and Scrub Claims with Custom Rules & Edits
XpressBiller
The path to improving clean-claim rates begins with an ounce of prevention. XpressBiller empowers you to automatically detect, assign, correct and minimize errors in real-time before the claim is released to the payer. It does this by preventing the key issues that derail claims and reduce profits. Now you can gain more control over your revenue cycle and meet the demands of your most difficult payers without involving IT, and at no additional cost.
Edits And Documentation Group (EDG)
Comprehensive Library of Claim Processing Rules & Edits
Sources and related document links are embedded within Claims Management and offer full transparency into Quadax’s rules and edit logic, policies and procedures. This includes: revision history, payer explanations and links to documentation, recent updates and custom comments—allowing our clients to leave their own documentation. Our comprehensive, up-to-date library of claim processing rules and edits are updated bi-weekly by our Edits and Documentation Group (EDG). The Quadax EDG team of experts, who are knowledgeable in both billing and ANSI claim requirements, reference nationally recognized sources, including AMA, CPT guidelines, Medicare Physician Fee and more.
Additional Features of Claims Management
Convenient FISS Connectivity
Quickly access FISS to make Medicare claims management easier than ever.
Electronic Claim Attachments
Support electronic claim attachment submission functionality to help free up staff resources, reduce postage costs and secure revenue faster.nn
Advanced Claim Status (ACS)
Advanced Claim Status (ACS) integrates a richer and more complete claim status response into workflow to save staff time and effort and enable further automation.
Claims And Reimbursement Support Services
Rely on the Experts
Quadax revenue cycle experts provide routine, on-site visits to assist with event creation and resolution, continued training, reporting needs, best practices and general issue resolution. Quadax provides the perfect blend of sophisticated technology with reliable, expert, personal support.