Electronic Claims Processing

Nowhere are the revolutionary advantages of Brightree’s cloud computing model more evident than in the ways that Brightree simplifies electronic claims submission to Medicare, Medicaid, and 2,100+ commercial payers. You’ll never again deal with batching up claims, managing modems, re-keying data into 3rd party websites, or resolving clearinghouse issues. We've invested heavily in our eClaims network -- which includes a smart workflow and an eClaims Concierge team -- to keep everything running smoothly. As a part of that investment, Brightree is on track with 5010 compliance.  Click here to read Brightree's 5010 compliance statement.

Smart Workflow

Once an order is confirmed, Brightree takes over and does everything else. Brightree handles all of the technology required to electronically transmit your claims and retrieve and post all remittance information. Brightree downloads your payer-generated acceptance reports, which are automatically retrieved and posted for your review. ERN files, which contain detailed payment and denial information, are used to automatically apply payments to your invoices. If there are any issues with claims transmissions, or Medicare rejections/denials, Brightree creates an alert and explains the reason for the issue.

Resubmitting claims is as easy as 1-2-3. With Brightree, you’ll eliminate the time you waste deciphering cryptic reports, listening to modem tones, staring at the screen, or waiting to confirm a submission file went through.

Brightree also raises visibility for issues that typically cause payment delays by creating alerts as soon as rejections are posted to the system. Brightree also continually updates a database of common front end rejections to give your billers yet another tool to use to take proactive corrective actions to stop rejections from occurring.

With Brightree you can automatically send all of your bills out daily, which increases your cash flow. It doesn’t matter if you need to send one claim or 500. There is no extra labor on your part, because everything is done automatically each night.

Brightree’s eClaims Concierge

We oversee everything from enrollment, to testing, to initial claims submission. Users contact the Brightree eClaims Concierge for any issues regarding sending and receiving claims, configuring insurances, interpreting reports, and more. The concierge will walk you step-by-step through the registration process for all your payers so you quickly begin billing electronically. We provide expert advice on how to best handle, troubleshoot, and resolve rejections. And Brightree works with you to re-engineer your unique workflow processes relative to how you submit and review claims in order to get you ready to fully utilize automated eClaims functionality.