Attune ClaimBook

ClaimBook is hosted on servers in the cloud (likely a third-party provider's data center) and accessed over the internet. This means there's no need for hospitals to install and maintain the software on their own servers, reducing IT overhead and complexity. It also makes the system accessible from anywhere with an internet connection.

This is a core feature. It means ClaimBook automates every step of the claim process, from the initial submission of the claim to its final resolution and payment. This includes things like data entry, validation, routing, approvals, and communication.

A rules engine allows ClaimBook to automatically enforce business rules and logic. For example, it can define what data is required for a specific type of claim, what supporting documents are needed, and what validations should be performed.

ClaimBook automatically checks the data entered in the claim form to ensure it's accurate and complete. This could include things like checking data formats, ensuring required fields are filled, and verifying data against existing records.

The rules engine ensures that only complete claim submissions are accepted. If any required information or documents are missing, the system will prevent the claim from being submitted, reducing errors and rework.

ClaimBook uses Optical Character Recognition (OCR) or similar technology to automatically extract data from uploaded documents, such as scanned forms or medical records. This eliminates the need for manual data entry, saving time and reducing errors.

If the hospital's Hospital Information System (HIS) is integrated with ClaimBook, the system can automatically pull relevant patient and medical data directly from the HIS, further automating data entry and improving accuracy.

By streamlining the claim process and reducing delays, ClaimBook helps hospitals adhere to Service Level Agreements (SLAs) with insurance providers, ensuring timely processing and payment.