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Why primeCLAIMS Works for Everyone
➡️ Ease of use, intuitive design, and streamlined workflows make your job simpler and more efficient. Training and conversion are a breeze, so you can hit the ground running.
➡️ Gain enterprise-wide visibility to track performance across locations. Identify which billers are excelling, uncover money left on the table, and make data-driven decisions to improve outcomes.
➡️ primeCLAIMS provides a unified experience to optimize your claims process. From accelerating cash flow to uncovering new revenue streams, we help you strengthen your financial position.
Billing & Operations
Improve clean claim rate, reduce rework, accelerate payments
Revenue Cycle
Cash flow stability, reduced write-offs, predictable reimbursements
IT & Systems Leaders
Integration, security, stability, reduced IT burden
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primeCLAIMS helps protect revenue, stabilize cash flow, and report with clarity.
- Improve cash flow predictability by shortening claim cycles and reducing payment delays.
- Protect top-line revenue with nearly 100% pre-submission error prevention, reducing avoidable denials and write-offs.
- Strengthen compliance and oversight with audit-ready documentation and clear, board-ready reporting.
- Manage performance proactively using analytics that reveal trends in denials, reimbursements, and payer behavior across your SNF portfolio.
Secure, stable systems that integrate cleanly and don’t overwhelm your team. primeCLAIMS is built to plug into your ecosystem, not disrupt it.
- Integrate with the systems you already trust, including EMRs like MatrixCare and PointClickCare.
- Protect PHI at every step with a secure, compliant architecture designed for healthcare data.
- Reduce tickets and training time via seamless user provisioning mapped to your EMR access rules and intuitive SNF-specific workflows.
- Rely on a scalable, cloud-hosted platform with high uptime, low maintenance, and rapid onboarding that keeps IT out of the weeds.
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Claims Status Summary
- Track Managed Care residents who need authorizations
- Errors and rejections
- Claims that need further review
- Secondary claims candidate
Secondary Claims Automation
- Flags any potential secondary claims candidates
- Easily create secondary claims
- Balance and adjudicate claims automatically
- Eliminate paper billing
- Get paid in the same month
Eligibility Checks
- Eligibility for Medicare HETS & Commercial Insurance
- Web-based platform for quick responses
- Check multiple insurance claims at one time
- Built-in services and customer service group creation
Vaccine Roster Billing
- Bulk immunization automation
- Used for Medicaid, Commercial, or Medicare
- Billing and Patient Roster templates
- Federal Fee Schedule-Based Charge Calculation
Aging Integration
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See how unpaid claims are affecting your aging
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Pinpoint missing claims for booked revenue
Revenue Recovery
- Denial management tool
- Assign tasks, upload documents, and create packages to send to payers
- Reduce the amount of sent PHI