• +1 510 585 7362
  • info@buddihealth.com
  • Smart self-learning workflow platform to manage denied claims from all payer networks
  • Built-in NLP & Machine Learning algorithms to model various complex payer claim denial/approval behavior
  • Automatic root cause analysis of claim denials, based on electronic or paper based EOB’s from all payers.
  • Helps build a comprehensive claim denial prediction model dynamically, to avert repeat claim denial patterns
  • Analyzes historical EOB’s, Medical Codes, CARC/RARC codes, Payer Payment patterns, Provider Credentials,
  • Provider-Payer Contracts prior to suggesting claim modifications to get it approved.
  • Re-Capture 50%+ of the denied claims within 6 months of launch.
  • Comprehensive Medicare/Medicaid Denial Prediction/Prevention Features
  • Comprehensive claim denial analytics dashboard with custom reporting
  • Auto generation of claim re-appeal letters to the payers
  • Integrates seamlessly with Denial Score & BUDDI Code product lines to leverage prediction and coding features.
  • Function based logon’s for CFO’s, HIM directors, Billing Managers, Coding Managers and Auditors.

HOSTED RCM PLATFORM

  • HIPAA Compliant
  • Military Grade Security
  • 256 Bit AES Encryption
  • Cloud Based Platform
  • Zero Software Installs
  • Zero Infra Maintenance
  • Auto Upgrades
  • Unlimited Storage
  • EMR Integration