Sandata Clean Claims: Proactively ensure payment accuracy and say goodbye to “pay and chase”
Having Clean Claims is essential to ensuring payment accuracy and driving efficiency in homecare delivery. It has a positive impact on every aspect of homecare operations, from payment integrity and regulatory compliance to provider relationships and operational efficiency. Sandata Clean Claims gives you an effective way to validate EVV claims pre-adjudication, enabling significantly lower claim denial rates and reconciliation costs as well as higher first-pass payments.
Accuracy. Efficiency. Compliance.
Pre-Adjudication Authorization
Say goodbye to “pay and chase.” Sandata’s Clean Claims solution leverages an enhanced claims editing process to validate homecare claims against EVV data before those claims are adjudicated, significantly reducing the need for subsequent recovery expenses.
Cost Savings
Sandata Clean Claims validates homecare claims against EVV data in a pre-adjudication mode and before claims are received and processed by payers. This contributes to lower claim denial rates and reconciliation costs, as well as higher claim auto adjudication and first-pass rates.
Better Provider Relations
Sandata Clean Claims integrates existing EVV, claim, and payment systems and industry standard
EDI formats and allows providers to continue to work with their vendors of choice, thereby significantly reducing provider abrasion.
An Out-of-the-Box Solution
Sandata’s Open Model enables integration with the provider’s existing solutions, and integrating our Clean Claims solution is a lower technical lift to implement in comparison with trying to build it internally. And, it eliminates the need for any respective technical maintenance.
Supporting Services
Fuse™ Agency Management
This next-level agency management solution blends best practices learned from supporting 20,000+ agencies with a sleek, reliable, user-friendly interface and intuitive, impactful interactions for an unparalleled agency experience.
- Improve cash flow and reduce friction with a billing module that includes multi-payer claims submissions with a single click
- Leverage AI for shift booking to improve workforce optimization and save valuable time
- Meet care coordination goals with our enhanced clinical platform
- Improve data accuracy, scalability, communication, and compliance with advanced integrations
