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At a Glance
Simplify SNF Claims. Accelerate Reimbursement.
Purpose-built claims management software for Skilled Nursing and Long-Term Care providers.
At a Glance
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Powerful features that work together to transform your SNF billing operations
Enrollment + Eligibility
- Auto-fill enrollment forms
- Guided checklists by payer/facility
- Eligibility for Medicare, Medicaid, Commercial & Bulk
- 30-day enrollment turnaround
Impact: Fewer setup errors → fewer front-end rejections.
Revenue Recovery & Denials
- ADR & Appeals workflow tracking
- Batch submissions without batch denial
- Denial management tools
- Enhanced aging & revenue recovery
Impact: Faster reimbursement + fewer avoidable write-offs.
Revenue Recovery & Denials
- ADR & Appeals workflow tracking
- Batch submissions without batch denial
- Denial management tools
- Enhanced aging & revenue recovery
Impact: Faster reimbursement + fewer avoidable write-offs.
Enrollment + Eligibility
Get residents enrolled and verified, FAST.
- Auto-fill enrollment forms
- Guided checklists by payer/facility
- Eligibility for Medicare, Medicaid, Commercial & Bulk
- 30-day enrollment turnaround
Clean Claim Processing
Submit claims right the first time.
- Pre-scrub for errors with EzDDE
- Faster DDE editing & easy corrections
- Medicaid, Commercial & Medicare routing
- 835/ERA + HETS retrieval
Billing & Operations Leaders
You’re measured on speed and accuracy. primeCLAIMS gives your team the workflows and visibility to keep cash moving and staff focused on the right work.
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Hit your clean-claim targets with 100%-targeted pre-submission error detection so claims go out right the first time.
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Accelerate cash flow with a 14-day commercial claim turnaround and streamlined follow-up.
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See exactly where revenue is stuck with configurable dashboards that highlight denials, aging, and bottlenecks in real time.
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Work the way your team already does with workflows and user access aligned to your EMR and SNF staffing model, reducing training and change fatigue.
Speak with an Expert
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Frequently Asked Questions
How does primeCLAIMS help with revenue cycle management?
In addition to a claims clearinghouse and editor for skilled nursing facilities (SNFs), primeCLAIMS offers a comprehensive dashboard to track exactly where your reimbursement revenue stands. Putting this vital status data on the home screen helps managers monitor staff progress (or hang-ups) in the SNF claims revenue cycle, including secondary claims. The software also has a module to support SNF denial management, allowing end-to-end claims monitoring from a single system.
What are the benefits of the primeCLAIMS dashboard?
The primeCLAIMS dashboard provides a quick look at the status of all your SNF revenue claims that have not been completed, including secondary claims. It provides a summary of Medicare claims with information on claims that still need to be modified or denied.
How is primeCLAIMS different?
primeCLAIMS was built specifically for SNFs and post-acute facilities.
How good is the support?
The Support Team has more than 20 years of experience working with and in SNF revenue cycle management. They understand the daily process of preparing, submitting, and working claims from real experience.
What vendors have you worked with to submit claims?
How many users can be added to primeCLAIMS?
You can add an unlimited number of users.
What are SNF claims?
The Medicare Fee-for-Service Skilled Nursing Facility (SNF) claim file contains information from paid bills submitted by SNF institutional facility providers. Skilled nursing care is the only level of nursing care that is covered by the Medicare program.
How are SNF claims billed?
The SNF Prospective Payment System (PPS) pays for all SNF Part A inpatient services. Part A payment is primarily based on the Resource Utilization Group (RUG) assigned to the beneficiary following required Minimum Data Set (MDS) 3.0 assessments.
Billing & Operations
Finance & Leadership
Technology Leaders
Billing & Operations Leadership
Do more with cleaner claims. Reduce manual rework, improve turnaround, and see every claim’s status at a glance.
Finance Leadership
Predictable revenue, stronger margins. Gain financial clarity and protect every reimbursement with higher accuracy and faster payment cycles.
Technology & Systems
Secure, scalable, and EMR-aligned. Modern infrastructure that integrates seamlessly and reduces IT workload.