Explanation of Benefits

A Comprehensive Solution for the Processing of EOB's for Hospitals using Healthcare Informatics

Most hospitals have developed electronic links to payers but they still receive many paper based EOB remittances. Managing paper EOBs from insurance companies is an expensive and error-prone process.

Finding individual patient information is a tedious paper chase. Missed billing opportunities abound. Write-offs and payment delays are common.

There is a better way – EOBreeze is a branded solution for the processing of EOB's. 

Benefits 0f  EOBreeze

• Reduces Costs of Payment Posting
• Eliminates Searching Through Batches of EOBs
• Enhances Revenues by Increasing Secondary Billing
• Resolves Denial Code Translation Problems
• Improves Payer Management

Reduce Your Costs of Payment Posting

Instead of laborious manual data entry and paper handling, what if you could use a standardized EOB posting report and automated 835 import file? With EOBreeze you can. Payment posting labor and time costs can be reduced. You can also eliminate the specialty training necessary for your posting staff to be able to recognize different insurance company EOB formats and codes. By giving you quicker and easier access to claims and payment information, EOBreeze allows you to free up resources currently devoted to EOB processing while still maintaining and even improving your collection rates.

Eliminate Searching Through Batches of EOB's

How much time do you spend hunting down claim information hidden in a mountain of paper EOBs? How many hard-to-replace posting experts do you lose because they’re tired of the endless paper shuffle? How much HIPAA risk do you carry processing paper EOBs where PHI security is difficult to control? EOBreeze helps you eliminate paper documents and replace them with a completely secure EOB image archive. Finding a specific claim in the EOBreeze image archive is instantaneous, whether you’re searching by Patient ID, MRN, Claim, DOS, or any other EOB data field. No more misplaced documents, aggravation, or paper cuts.

Enhance Revenues by Increasing Secondary Billing

When primary coverage is denied or follow up billing is required you need two things: a copy of the primary EOB, and the time to process secondary billing. EOBreeze gives you both. Every claim image in the secure EOBreeze image archive is linked to patient level data, so finding a primary EOB form is a breeze. With EOBreeze image snippet technologies, you can print or fax claim detail from the EOB directly to a third party, without having to worry about redacting any other information. And since EOBreeze frees you up from the EOB paper chase, you’ll have more time to perform secondary billing and improve your bottom line.

Resolve Denial Code Translation Problems

Hospitals incur a lot of cost and lose a lot of claims revenue because payers use cryptic proprietary denial codes. Manually translating these codes is slow and expensive, and requires deep expertise. Problems with interpreting these codes translate to increased cost and decreased revenue. EOBreeze makes these problems disappear. By converting all proprietary denial codes to HIPAA standard codes, EOBreeze lets you know just what the insurance company is saying. With crosswalk tables for all major payers (including real-time updating of new codes) and footnoted code translations, EOBreeze takes away the
denial code translation problem.

Improve Payer Management

Most hospitals have terrible visibility to payment performance of different insurance companies. This makes it almost impossible to negotiate good billing and contracting agreements. That’s all about to change. The EOBreeze payer analysis and reporting portal gives you complete visibility to every payment, adjustment and denial from any of your payers. With EOBreeze, you can run a complete payer comparison analysis and create “report cards” for each payer. Reports can be customized to meet your specific needs and are available on demand.

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What Separates EOBreeze from the Rest?

• Proprietary V2 “Free-Form” OCR Based Technology Platform
• Robust, EOB Specific Image Archive, Online or In-house Solution for Health Care Providers of All Sizes
• Proven Denial Code Translation Functionality
• Payer Report Card, Payer by Payer Analysis Engine and Online Reports
• Unmatched Security Protocols
• Best in Class Quality Programs
• SLA Guarantees

Who is EOBreeze?

EOBreeze is the nation’s leading provider of paper EOB remittance processing services. For the past 6 years EOBreeze has serviced healthcare providers across the country (provider groups, hospitals, pharmacies)  offering the most comprehensive Medical Lockbox and EOB Remittance processing solution available. These services have been marketed exclusively through
partnerships with banks and other healthcare service organizations. EOBreeze is now offering these services directly to healthcare providers.

Contact us for a demo today, it's free!