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harvis.hospital

AI Powered
Insurance Claim Management

ABOUT FEATURE

Simplifying Insurance Claims
with AI-Driven Efficiency

Harvis revolutionizes the way hospitals and healthcare providers handle insurance claims. By leveraging advanced AI technology, Harvis automates the entire claims process, from submission to approval, reducing administrative burdens and ensuring timely, accurate reimbursement.

Smart Claim Validation

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  • AI-Powered Verification: Harvis cross-checks the data entered in claims with the hospital’s records, insurance guidelines, and coding standards to ensure compliance before submission.

  • Real-Time Error Detection: Detects discrepancies, missing information, or non-compliant entries and flags them for quick correction, ensuring claims meet insurer requirements.

Seamless Claims Submission

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  • Direct Integration with Insurers: Harvis connects with multiple insurance providers, allowing for real-time submission of claims, reducing paperwork and delays.

  • Automated Status Updates: Track claim status in real-time, with automated notifications of any changes in the approval process, improving transparency for both providers and patients.

Predictive Analytics for Claim Approval

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  • Claim Approval Predictions: Harvis analyzes historical data and patterns to predict the likelihood of approval, helping hospitals take proactive actions on high-risk claims.

  • Smart Resource Allocation: Harvis uses AI to prioritize claims based on their probability of approval, enabling more efficient use of hospital staff time and resources.

Dispute Resolution and Denial Management

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  • AI-Driven Denial Analysis: Harvis identifies the reasons behind claim denials, helping healthcare providers understand the root cause and providing actionable insights for appeals.

  • Automated Appeal Generation: Harvis helps generate and submit appeals for denied claims, automatically adjusting claims based on feedback from insurers to improve the chances of approval.

Billing & Reimbursement Integration

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  • Integrated Billing: Claim data seamlessly integrates with the hospital's billing system, ensuring that all charges are accounted for and reimbursement is processed smoothly.

  • Streamlined Reimbursement Tracking: Monitor the status of reimbursements in real-time, reducing delays and improving the financial health of the hospital.