The Vaccine to End Your Claims System Lockdown

The Vaccine to End Your Claims System Lockdown

With a COVID-19 vaccine on the way, we’re seeing a light at the end of the tunnel in 2021. But what about getting a shot in the arm for the legacy claims system you’ve been using since long after its expiration date? When you’re doing more to accommodate system inflexibility than the system is doing for you, perhaps it’s time to consider a new approach.

Beacon has a range of capabilities to help you boost your technical “immune system” and increase your ability to navigate the tempest of health claims processing. Sometimes a vaccine, like the current COVID-19 vaccine, requires more than just one dose, along with patience for the time between doses. Similarly, system changes require commitment and persistence. Upgrading to an agile and dynamic solution can help increase your resilience in the health claims processing market.

Beacon, with SpyGlass, HIPAA Director, and Compass Code Edits, provides potent antibodies to deal with the many challenges presented by changing government regulations, shifting markets, and evolving technology. Beacon’s offerings deliver the functionality to boost your efficiency for the work you do every day to serve your customers, while at the same time providing the capabilities to position your business for the future.

We’ll put you on top of challenging issues by helping you to:
  • Fully automate secure trading partner operations and internal transactions
  • Engage eligibility and provider match issues that provide additional control with your trading partners
  • Gain automatic claims routing with robust audit and rebuttal tracking
  • Enable intelligent duplicate checking
  • Improve repricing capabilities with many networks, including powerful provider contract pricing with a range of methodologies
  • Subject incoming claims to clinical code edits, many of which are required by Medicare
  • Support multiple ePay options (including direct via banking ACH)
  • Automate letters and follow-up correspondence generation

Depending on the mix of features that are compelling to you, our suite of health claims management applications can address the specific issues that are currently limiting you by your legacy systems. Each of Beacon’s products delivers focused advantages—but in combination, they smooth out operations and cut the unnecessary complexity that older, legacy claims systems impose. Plus, you’ll be able to approach new markets like Medicare with the tools required to get the job done right.

As COVID-19 adaptations have changed so much in our industry throughout the year, organizations have run directly into the need for flexibility with their software vendors. As a SaaS, fully cloud-based solution with no local desktop installations required, SpyGlass is as flexible and easy to use as the web. And, what’s more encouraging than having a flexible partner in this unpredictable era? As many businesses have adapted to a work-from-home environment, Beacon’s SaaS business model is perfect for remote teams to effectively navigate this disruption without skipping a beat.

Do you have to go through a conversion in order to get the benefits of a new claims system?
Conversions can be challenging, as they represent the transition of all the key data at the heart of your operations from one system to another. More and more, we talk with healthcare payers that prefer a conversion-free approach. While SpyGlass has built-in proprietary technology for data transformation and validation that allows users to convert data confidently with extensive visibility along the way, we also support customers who want a clean start as they run out old claims on their legacy system. Regardless of your implementation preferences, Beacon is fully committed to producing a high-quality result.

Ultimately, migrating from your legacy system can provide immense benefits to your business.
With new features and innovations required to meet market demands, can you allow your legacy system to hold you back? Nowadays, it’s all about efficiency, profitability, and, most importantly, enhancing the health of the members and families you serve. The writing is on the wall: legacy technology is a significant barrier to digital transformation, and Beacon can help you carry out a successful claims system upgrade in a smooth and painless manner.

Time to Boost Your Technical Immune System?
Schedule a live, personalized demo with Beacon to see how SpyGlass can put you on top of the challenging issues you face with your legacy system. Our agile, dynamic solution will help increase your resilience in the health claims processing market.