Member Database Validation

Prevents bills where patients policies have lapsed or don't exist

Adds a layer of intelligence to the electronic billing validation process.  

The service enables insurers to validate invoices against a database hosted by Healthcode to ensure the patient's policy number is correct and active. This prevents bills for unmatched, lapsed and incorrect policy holders from passing into the insurer's bill processing system. 

  • Provides better control and standardisation for exception handling

  • Increases invoice accuracy 

  • Administration and costs savings

 

A pre-requisite for this service is Pre-Authorisation Tier 1, where Healthcode will host a local copy of the insurer's member database.