Keep all your claims on track

Now you can speed up your revenue cycle and reduce A/R days for all your payers. ABILITY | CHOICE All-Payer Claims is an easy-to-use electronic claims management application that allows users to submit, edit and receive claims for Medicare, Medicaid and more than 3,000 commercial insurance companies. You’ll also gain insights into your organization’s performance with billing and coding analysis tools. Keep on top of all your claims — and keep your revenue on track.

  • Providers with billing software: Leave paper claims behind – submit electronic claims to all your payers, with 24/7/365 accessibility. Use the simple batch upload service for processing all 837 EDI-compliant claim formats. Data translation and mapping services are also available for Print Image and NSF formats.
  • Providers without billing software: You’re covered, too! For professional claims, you can key data directly into an electronic CMS-1500 form via a secure web portal, and save important information for future use. For institutional claims, you can key data into an electronic CMS 1450 (formerly UB-04) form using our PC-ACE application.

Core benefits

  • SAVE TIME, STREAMLINE CLAIMS WORKFLOW

    Submit claims for all or some of your payers, with 24/7/365 accessibility. View a readable form of an EOB with a click of a button. With another click, you can access and then sort all your rejected claims in one place, including the reason for the payer’s rejection.

  • CLAIMS EDITING MADE EASY

    Easily edit and re-submit claims directly via the corrections tool

  • GAIN VISIBILITY TO ORGANIZATIONAL PERFORMANCE

    Get a snapshot of key performance indicators with analysis tools:

    • Track total billings and total visits each month
    • Benchmark your coding and billing against that of similar practices for any diagnosis
  • IMPROVE CASH FLOW AND MAXIMIZE REVENUE

    Multiple levels of claim validation will reduce rejections and speed up reimbursement. You’ll also see 24 months of claim history to help you with reporting and audits.

  • MAINTAIN COMPLIANCE

    • All transactions are fully compliant with HIPAA regulations
    • Daily backup of claim files – data stored securely off-site in a US-based data center
    • We are ICD-10 compliant
  • THE SECURITY AND CONNECTIONS YOU NEED

    We are fully accredited by the Electronic Healthcare Network Accreditation Commission (EHNAC); an approved Network Service Vendor; CAQH CORE-certified; and an approved Health Information Handler (HIH). ABILITY consistently meets the highest industry and HIPAA standards for support and security in securing protected healthcare information.

myABILITY_TM

Connect to all of your ABILITY services via myABILITY, a SaaS delivery platform that gives you on-demand access to everything you need. The user-friendly interface features Single Sign-On (SSO), a site license delivery model (unlimited number of users), and customizable user-management allowing different profiles and permission levels to access information.

Whether you need patient transitions of care, Medicare connectivity, or tools to improve revenue cycle management, ABILITY can help your care management, admissions, billing and administrative areas work more effectively and efficiently.