{"id":894,"date":"2015-03-19T21:27:07","date_gmt":"2015-03-20T01:27:07","guid":{"rendered":"https:\/\/cms.basys.com\/customer-cms\/?page_id=894"},"modified":"2025-11-12T13:49:34","modified_gmt":"2025-11-12T18:49:34","slug":"healthclaimsxg","status":"publish","type":"page","link":"https:\/\/cms.basys.com\/customer-cms\/documentation\/healthclaimsxg\/","title":{"rendered":"HealthClaimsXG"},"content":{"rendered":"<h1 class=\"entry-title\"><span style=\"color: #000000;\">Health<em>Claims<\/em><\/span><\/h1>\n<h2 class=\"wrap\">Resources<\/h2>\n<h4>User manuals (PDF)<\/h4>\n<ul>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2025\/08\/clmman_nexgen.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Health<em>Claims<\/em> User Manual<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/Manuals\/disman.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Disability Processing User Manual<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/Manuals\/Check and EOB Menu.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Check &amp; EOB Menu Manual<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2015\/12\/clmman1.pdf\">Classic Health<em>Claims<\/em> User Manual<\/a><\/li>\n<\/ul>\n<h4>More useful info<\/h4>\n<ul>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2015\/03\/Updating-Attributes-on-the-EDI-Screen-for-5010.pdf\">Updating Attributes on the EDI Screen for 5010<\/a><\/li>\n<li><a href=\"http:\/\/basys.com\/customer-cms\/wp-content\/uploads\/2015\/04\/basys-Rules-Utility-Quick-Start-Guide.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">BASYS Platform Rules Utility Quick Start Guide<\/a><\/li>\n<li><a title=\"HIPAA User Documentation\" href=\"https:\/\/bridgewayhelp.mcoutput.com\/hipaa\/Default.htm\" target=\"_blank\" rel=\"noopener noreferrer\">HIPAA User Documentation<\/a><\/li>\n<li><a href=\"http:\/\/basys.com\/customer-cms\/wp-content\/uploads\/2015\/03\/Provider-Matching.pdf\">New Product Enhancement: Provider Matching<\/a>\u00a0and<br \/>\n<a href=\"http:\/\/basys.com\/customer-cms\/wp-content\/uploads\/2015\/03\/Provider-Matching-FAQs.pdf\">Provider Matching FAQs<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2015\/03\/po18-ppaca.pdf\">ACA Adult Child Mandate and IRS Reporting<\/a><\/li>\n<\/ul>\n<h4>Training library links<\/h4>\n<ul>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2018\/05\/17.-Claims-Shortcut-Keys.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Claims Shortcut Keys<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/healthclaimsxg-quick-videos\/\" target=\"_blank\" rel=\"noopener noreferrer\">Health<em>Claims<\/em> quick videos<\/a><\/li>\n<li><a href=\"https:\/\/cms.basys.com\/customer-cms\/healthclaimsxg-series\/\" target=\"_blank\" rel=\"noopener noreferrer\">Health<em>Claims<\/em> webinars<\/a><\/li>\n<li>&#8220;<a href=\"https:\/\/cms.basys.com\/customer-cms\/review-the-basics-series\/\" target=\"_blank\" rel=\"noopener noreferrer\">Claims Review the Basics &#8211; Service<\/a>\u00a0&#8221; webinar<\/li>\n<\/ul>\n<h2>Overview<\/h2>\n<p>Provider calls to check payment status&#8230;<br \/>\nMember calls to question EOB results&#8230;<br \/>\nVendor calls to determine eligibility&#8230;<\/p>\n<p class=\"wrap\">The inquiries are endless, and you need a health claims processing system that can respond in seconds.<\/p>\n<h4>Enter claims software solution: Health<em>Claims<\/em><\/h4>\n<p>The Health<em>Claims<\/em> suite is a powerful claims software solution designed for self-administered self-insured plans and Third Party Administrators (TPAs) to automate health benefits administration by improving the accuracy and efficiency of processing healthcare claims. Streamline your business processes while improving service to your customers and members and gain peace of mind knowing your technology partner will continue to provide compliance solutions with the ever-changing regulatory landscape.<\/p>\n<p>Our powerful health claims technology supports multiple claim types on a single, easy to use platform. Achieve auto-adjudication rates that you didn\u2019t think were possible and transform your operations into a paperless office for routine tasks freeing you to handle your top priorities.<\/p>\n<h4>How Our Claims Software Works<\/h4>\n<p>Health<em>Claims<\/em> offers:<\/p>\n<table border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 50%;\" align=\"left\" valign=\"top\">\n<ul>\n<li>Medical, Dental, Vision, Short-Term Disability<br \/>\nclaims processing<\/li>\n<li>Integrated eligibility verification<\/li>\n<li>ICD-10\/5010 Regulatory compliance<\/li>\n<li>Robust, highly configurable Auto-Adjudication engine<\/li>\n<li>Integrated Code Editing\/<br \/>\nUsual and Customary Fee Schedules<\/li>\n<li>Joint Administration arrangements<\/li>\n<li>Coordination of benefits tracking (COB)<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 50%;\" align=\"left\" valign=\"top\">\n<ul>\n<li>Subrogation and Case Management<\/li>\n<li>User-Defined Audit Capabilities to track<br \/>\nand control costs<\/li>\n<li>Decision Support analytic tools to better<br \/>\nunderstand your plan\u2019s utilization and trends<\/li>\n<li>Health reimbursement accounts (HRAs)<\/li>\n<li>Health savings accounts (HSAs)<\/li>\n<li>Flexible spending accounts (FSAs) and care management<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Download a copy of the\u00a0<a href=\"https:\/\/cms.basys.com\/customer-cms\/wp-content\/uploads\/2025\/10\/HealthClaims-on-BASYS-by-Bridgeway.pdf\">Health<em>Claims<\/em> Product Highlights<\/a>.<\/p>\n<p>Review the\u00a0<a href=\"https:\/\/cms.basys.com\/customer-cms\/healthclaimsxg-future-product-release\/\">Future Product Release listing<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>HealthClaims Resources User manuals (PDF) HealthClaims User Manual Disability Processing User Manual Check &amp; EOB Menu Manual Classic HealthClaims User Manual More useful info Updating Attributes on the EDI Screen for 5010 BASYS Platform Rules Utility Quick Start Guide HIPAA User Documentation New Product Enhancement: Provider Matching\u00a0and Provider Matching FAQs ACA Adult Child Mandate and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":874,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-894","1":"page","2":"type-page","3":"status-publish","5":"entry"},"acf":[],"_links":{"self":[{"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/pages\/894","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/comments?post=894"}],"version-history":[{"count":20,"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/pages\/894\/revisions"}],"predecessor-version":[{"id":8844,"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/pages\/894\/revisions\/8844"}],"up":[{"embeddable":true,"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/pages\/874"}],"wp:attachment":[{"href":"https:\/\/cms.basys.com\/customer-cms\/wp-json\/wp\/v2\/media?parent=894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}