Insurance pre-auth and claims, tracked like a journey.
In plain words: Track insurance claims from pre-auth to payment.
Revenue cycle · Full PHI · hospitalsThe claim as a journey: cashless starts at pre-auth, reimbursement at submission, and every state change appends a visible event with who, when and how much. Approvals and settlements demand amounts; denials, rejections and withdrawals demand reasons — the ledger that improves the next claim. Beside the pre-auth packet, Claims exchange prepares the claim as a FHIR bundle for the National Health Claims Exchange and keeps every attempt on a log; until the hospital is enrolled on the exchange it refuses to send, and says so on the claim.
Read out of the code, not the brochure: each app below is here because one service queries the other’s tables. Install either side and the hand-over is already wired.
It does not draft clinical justifications the chart cannot back, and it cannot skip a step — a settlement without a submission, or a denial without a reason, is unrepresentable. Nor does it mark a claim sent to the exchange that the exchange has not accepted.
Every app page carries this section. A listing with only benefits is an advertisement.ClaimsLine reads bills, the chart and writes claims, authorisations. Its data class is Full PHI. Every app works on the same patient record — nothing is copied into a silo.
It does not draft clinical justifications the chart cannot back, and it cannot skip a step — a settlement without a submission, or a denial without a reason, is unrepresentable. Nor does it mark a claim sent to the exchange that the exchange has not accepted.
Claim history stays with the bills.
Yes — ClaimsLine is live in clinics today. Set up your practice on MedAppz and install it from your dashboard.
Tell us what you run and we will show you this app inside a practice shaped like yours — or answer the question the page above did not.