Capario

Connectivity. Solutions. Insight.

Real-time Transactions

When people are waiting, sometimes nothing less than real-time transactions will do. Is this patient insured? When will we be reimbursed? What’s the status of the claim? Our advanced technology platform can process thousands of real-time transactions every day to give clients instant, meaningful answers to these questions. Capario can process almost any type of healthcare transaction and connect to payers nationwide—all in real time. This means that claims, electronic remittance advice (ERAs), eligibility, etc. are sent in real time between providers and payers and back again. Providers get claims processed faster and rejection rates drop dramatically. Payers process faster and have better results with adjudication, re-pricing and negotiation.

Eligibility Verification

No more wait and see. Fewer phone calls. Providers will know in seconds whether a patient is eligible for services before the service is delivered. You can set your services to automatically verify eligibility for claims going to all payers or specific payers. Or set the automated eligibility feature to only run on claims over specific dollar amounts. Knowing whether the insurance is valid lets you avoid a delay in your revenue cycle if the patient is not covered.

Real-time Claims Status Inquiry

With real-time claims status you get the information you need from your payers via an intuitive, secure Web portal. You don't have to endure time-consuming "phone tag." Capario's real-time capabilities put you only a few keystrokes away from knowing up-to-the-minute progress on where your claims stand at any time. Getting fast status updates has never been so easy.

Smooth Transition

In addition to real-time services, Capario offers traditional electronic data interchange (EDI) claims submission, processing and tracking. We meet your current needs while helping you move to the benefits of all-electronic processing.

Capario's real-time capabilities put you only a few keystrokes away from knowing up-to-the-minute progress on where your claims stand at any time.