The healthcare industry is constantly evolving and Capario adapts to these changes for you, allowing you to quickly deliver products and services that exceed your provider’s expectations.Massis - Director, payer services
Payers solutions
Outsource gateway operations
Our connectivity and advanced pre-processing services eliminate in-house manual operations and ensure clean claims on the first submission. With Capario as your gateway partner, you can deliver leading-edge, real-time communication services and transparency that today’s providers expect. Our payer portal provides business analytics and intelligent reporting to give you valuable insight into your submitter’s performance and productivity.
Advanced claim scrubbing
Capario solutions automatically scrub every claim for clearinghouse, HIPAA– and payer-specific edits. We also offer optional services that pre-screen for CCI and MNC edits. Bottom line: we deliver the cleanest claims—and highest auto-adjudication rates—in the industry.
Medicare Crossover coordination made easy
Whether you’re a small union fund managing benefits for retirees or a major Medicare Supplement payer, Capario can help you streamline your Medicare Crossover claims process. Having processed more than 100 million Crossover claims, Capario’s expertise has helped payers optimize administrative efficiencies and the financial performance of their Medicare Supplemental claim operations. You gain confidence knowing that you will only receive claims ready for processing, which dramatically streamlines your workflow and reduces administrative costs.
Your priorities are our priorities
Every Capario payer has a cross-functional support team dedicated to its unique environment. Through our customer charter agreements, unique in the industry, we guarantee specific response times for support issues. Ask your sales or support person for details.
To find out more about how Capario helps payers simplify processing, reduce costs and strengthen relationships with providers, call 1.800.586.6870 or email us today.
