banner
Captiva
ClaimsEditor
Tools for editing, correcting, and reporting claims

EMC Captiva ClaimsEditor both eliminates errors and speeds claim processing with tools to ensure coding complies with state Medicare and third-party payer rules and regulations. With advanced proprietary tools for editing, claims corrections, reporting, and workflow management, ClaimsEditor significantly reduces administrative costs, improves regulatory compliance, accelerates cash flow, and reduces audit risk.

ClaimsEditor includes EMC ClaimsEditor Professional, which examines whole claims and identifies problems, from procedure-to-diagnosis mismatches to potential unbilled revenue. It also includes EMC ClaimsEditor Online, which applies payer-specific clinical and technical edits—prior to submission—to third-party payers.

Descriptive & Technical Info

EMC Captiva ClaimsEditor delivers:

FeaturesBenefits
Built-in code accessLeverage included CPT-4, HCPCS, and ICD-9-CM codes with coding rules and regulations to identify and correct errors.
Real-time editingKeep claims flow moving as edits are made with little or no interruption for existing users.
Clinical editingEdit according to clinical coding standards and contextual rules, as opposed to technical standards.
RulewriterEmpower users, including commercial payers, to create and write custom rule sets.
Template creation and maintenanceGain state-specific Medicare templates based on each carrier's requirements.
Management reportsLeverage 20 different ClaimsEditor reports to help administrators better assess and manage the claims capture process.

Available Evaluation Software.


CodeLink -EMC Captiva CodeLink helps healthcare professionals rapidly access medical claims codes in order to reduce medical coding errors and claim processing times.

emailE-mail us

phone  1-866-438-3622

Notes: