Claims Management System
CorrectHM tracks each and every claim presented for the services provided to show when the claim was received, current status, and all contracted rate information. All claim data is captured and stored in our database to be included on reports upon request of the customer. The system automatically identifies duplicate claims to ensure no additional payments are made on an epidsode of care. The CorrectHM claims system allows for the automated flagging of claims to be reviewed based upon criteria determined by the customer.

We can decide to flag all claims from a provider if we have concerns over their billing practices, or we can flag claims over a certain dollar amount. Any criteria can be defined to ensure that certain claims get scrutinized. Detailed EOPs and EOBs for the providers and the institution are created at the end of each billing period. Information on the inmate, date of service claim amount, contract amount is all provided along with back up information such as a copy of the claims and reports from the processing of the claim to show that the claim has been adjudicated accurately. This leads to a quicker payment by the institution.