Core Solutions - EHR Solutions for Behavioral Health

Cx360 Provider > Finance

Managed Care

Managed care functions including authorization requests, tracking, credentialing and other business rules, which help ensure all payer requirements are validated upfront at the time of service scheduling. Reports that track information unique to managed care, also provide you with the tools to better manage your relationship with payers.

Billing

An easy to use wizard facilitates submission of claims in 837 Institutional, 837 Professional, CMS 1500, UB04 and other proprietary formats. CORE also has relationships with various clearinghouses for submission of claims to over 1000 major commercial payers. Once claims are submitted, users can record receipts, write-offs and denials through a payer or client ledger.

Remittance Advice

Electronic remittance advice can be posted to Cx360 using HIPAA 835 file format or manually when electronic remittance advice is not available. A rebilling wizard allows billing staff to quickly rebill denied claims to the secondary payer or the client.

Accounts Receivables

Pre-defined accounts receivables reports are available for aged receivables by client or payer. In addition, a retroactive accounts receivables wizard allows

General Ledger Integration