SSI’s Claim To Fame: 

ClickON® Claims Management products address core healthcare electronic claims processing tasks, as well as compliance and data interfacing requirements.

Serving as the basis for electronic commerce, ClickON® Claims Management software products fall into the following categories: ClickON Claims Processing Tools, ClickON Compliance Tools and ClickON Data Interface Tools.

Improving efficiencies within the healthcare billing process through automation and seamless integration, ClickON Claims Processing Tools eliminate data reformatting, reduce redundant data entry and improve data validation. These tools also reach beyond basic billing software functionality to incorporate peripheral electronic claims processing tasks, such as: Claims Audit, Claims Status, Secondary Billing and Accelerated Secondary Billing, Revenue Recovery, and Contract Management.

SSI offers three separate means of electronic claims transmission. They are Direct; through our Claims Clearinghouse; and via our Net Billing Claims Service, based on the ASP model.

ClickON Compliance Tools target areas susceptible to fraudulent billing practices and determines medical necessity. Integration Applications protect against improprieties and safeguards revenue by delivering prior knowledge of non-covered procedures and automatically generating ABNs. Implementation Services ensure the Integration Applications are easily networked with virtually any scheduling, admitting/registration or order-entry system to facilitate effortless Medical Necessity checks.

ClickON Data Interface Tools provide for the seamless import and export of data between legacy hospital information systems and next generation vendor systems. These tools include pre-episode applications, such as Eligibility Verification and Net Eligibility, as well as post-episode applications including: Remit/Cash Posting, Reject Note Posting, Confirmation Note Posting and Bill Date Posting. Together, these applications help ensure pre-service eligibility verification, facilitate automated remits from participating payers and enable a claim to be tracked from billing through payment.