Claims Management System

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The LuminX Claim Management System and Your Monthly Reports

Our state-of-the-art LuminX system is the most sophisticated system of its type on the market today.

The LuminX system provides the utmost in claims management capabilities:

  • EDI claim adjudication
  • Electronic claims scanning with optical character recognition
  • Late entrant review coordination
  • Application of reasonable and customary benefit payment limits
  • Application of the network provider’s negotiated rate
  • Coordination of benefits review
  • Application of subrogation clauses
  • Automated match to utilization review determinations
  • Detection of unbundling and upcoding

You will receive meaningful and easy-to-read reports on a monthly basis:

  • Check Register
  • Coverage Analysis
  • Benefit Analysis
  • Paid Claims Register
  • Paid Claim Analysis

If you have a unique need, just ask. We will work with you to customize any report to meet your specific requirements.