Capario

Connectivity. Solutions. Insight.

Revenue Cycle Management

From before claims submission to after reimbursement adjudication, our easy-to-navigate Web portal provides the real-time transactions, online guidance, automated functions and analytic reporting that lets providers and payers know where they stand during every step of the revenue cycle. More than transaction services, our full-featured solution helps manage each activity in your claim's revenue cycle to ensure medical providers get paid faster, insurance payers operate more efficiently, and software and service partners provide a more competitive solution.

Through our innovative solution, providers and payers achieve greater efficiency, improved workflow management and more accurate billing and claims processing. Capario handles all steps in the revenue cycle to help providers better manage their revenue cycle, stay on top of changing payer requirements and increase both cash flow and productivity.

Optimizing Revenue

Capario starts expediting your revenue cycle at the beginning of a claim’s life cycle so you submit claims only once, eliminating time-consuming re-works. Our real-time transactions and HIPAA-compliant transmissions let you maximize collections and reduce the risk of bad debt, without picking up the phone.

  • Real-time eligibility verification searches multiple insurance plans and Medicare databases to let providers know immediately whether a patient is covered
  • Proper coding, checked against our list of updated coding standards, is automatic, optimizing first-time claim accuracy and speeding reimbursement
  • Electronic submissions, either batched or in real time, enable faster communications to payers in the correct format with easily attached documents

Claims Status Insight

Capario is an interactive solution that lets you receive up-to-the-minute information online any time you query for full visibility into your claims processes. Or you can schedule automated delivery of status to see exactly what is happening with your revenue as frequently as you want.

  • Automatic status tracking provides scheduled daily updates on claims progress
  • Quick status inquiries provide real-time claims data in views tailored to your preference
  • Search options let you set multiple inquiry parameters and save hours on searches
  • Claims status monitoring at any time for payer receipt of claims and remittance advice

Through Capario's innovative solution, providers and payers achieve greater efficiency, improved workflow management and more accurate billing and claims processing.