Expedite Medicaid claims, onboarding & services

Use DocFinity workflow, eforms, checklists & document management to improve processes.

ECM, BPM/Workflow, Records Management & Capture Solutions

State Medicaid

Meeting federal requirements for funding, servicing a rising number of members, and operating on flat-lining budgets are huge challenges for state medicaid agencies. The effective processing of new members and medicaid claims requires timeliness, accuracy, proper documentations, and privacy. And being able to share key information with field workers and associated state agencies is key to providing quick and complete care to clients.

 

DocFinity provides straightforward access to the information needed to manage information and claims effectively and eliminate the risks associated with human error. You'll also upload information and complete processes from mobile devices, enabling you to expedite processing like claims, appeals, and grievances.

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take control of medicaid processing

 

Enrollment   |   Credentialing   |   Claims Processing   |   Appeals & Grievances

Correspondence   |   Federal Exchange Errors   |   Delivering Refunds

Explaination of Benefits   |   Coordination of Benefits   |   HR Processes

 Monitoring Productivity   |   Contracts

Enhance Your Healthcare Program Admin Solution

DocFinity® is changing the way you store and retrieve files. It helps you keep your cost per recipient down while expediting turnaround on the processes surrounding Medicaid provider enrollment, member enrollment, claims, and associated wellness efforts, as well as organizational processes.  DocFinity tools like Intelligent Capture, Enterprise Content Management (ECM), Records Management, eForms and BPM/Workflow will assist you with:

File storage

Securely storing scanned documents, faxes, forms, media files or any type of structured, semi-structured, or unstructured content—including correspondence and HCFAs—so you can find the information you need prior to authorization.

Records Management

Addressing compliance initiatives by automating file retention schedules, setting staff accessibility rules around documents and images, and recording audit trails for each item held in DocFinity.

Intelligent Capture

Automating the capture of documents and extraction of data for use department-wide, and to share with other agencies who could benefit from the latest information.

Automate Processes

Automating and standardizing processes so claims are processed consistently, accurately, and on time.

 

Image Enablement

Image enabling MMIS or other familiar systems to pull relevant documents and data held in other applications to quickly verify benefits and evaluate the medical necessity of services.

Integration and Image Enablement

 

The true power of DocFinity comes from integrating it with many of your line of business applications, such as your MMIS and billing system. Your staff doesn't have time to learn a new system. So, by image enabling your familiar applications, your staff can access data, documents, and images held in DocFinity, as well as push data and files to DocFinity, at the click of a button.

Settle claims faster

  Verify coverage automatically before distributing claims to
        adjudicators.

Improve management of the provider credentialing process.

Automate the enrollment process to mitigate risks,
       eliminate missing documents, and minimize compliance
       concerns.

Allow straight-through processing of first-pass claims.

Quickly find information needed to resubmit claims.

 

Monitoring Efficiency Throughout

When you need metrics to prove that your efforts to create a more digitally efficient environment are working, or to note what’s holding you back, DocFinity can help. DocFinity Dashboards not only reports on activity within DocFinity, but can also monitor your servers, repositories, other systems, and staff productivity within other applications. In real time, view the number of accepted or denied claims, pinpoint bottlenecks due to server overload or under-staffed areas, and monitor repository capacities—all to be proactive about keeping your organization running as efficiently as possible.

Contact Us.  We'll show you more.

 

DocFinity logo

100 Oakwood Avenue

Suite 700

State College, PA 16803

 

Ph: 814.238.0038

Toll Free: 800.678.3241

ECM, BPM/Workflow, Records Management & Capture

Expedite medicaid Claims, onboarding & services

Use DocFinity workflow, eforms, checklists & document management to improve processes.

ECM & automation Solutions

take control of medicaid processing

 

Enrollment   |   Credentialing   |   Appeals & Grievances

Claims Processing   |   Correspondence
Federal Exchange Errors   |   Delivering Refunds

Explaination of Benefits   |   HR Processes

 Coordination of Benefits   |   Monitoring Productivity
Contracts

Expedite medicaid claims, onboarding & services

Use DocFinity workflow, eforms, checklists & document management to improve processes.

ECM solutions

take control of medicaid processing

 

Enrollment

Appeals & Grievances

Credentialing

Claims Processing
Correspondence

Federal Exchange Errors
 Delivering Refunds

Contracts

Explaination of Benefits

HR Processes

 Coordination of Benefits

Monitoring Productivity

File storage
Records Management
Intelligent Capture
Automate Processes
Image Enablement

  Verify coverage automatically before 
       
distributing claims to adjudicators.

Improve management of the provider
       credentialing process.

Automate the enrollment process to 
       mitigate risks, eliminate missing
       documents, and minimize compliance
       concerns.

Allow straight-through processing of
       first-pass claims.

Quickly find information needed to
       resubmit claims.

 

DocFinity logo

100 Oakwood Avenue

Suite 700

State College, PA 16803

Ph: 814.238.0038

Toll Free: 800.678.3241