Simplify Claims, Accelerate Reimbursement

Purpose-built claims management software, backed by personalized support, every step of the way.

One Solution Built for Every Revenue Cycle Role

A unified platform designed to make life easier for everyone involved in the revenue cycle.

Claims Processing

Our all-payer clearinghouse platform simplifies the primary and secondary claims submission process by processing clean claims and flagging those with errors. Make error resolution simple with a double-claim view for comparison and correction. Submission tracking ensures timely claims and prevents lost revenue. Easy responses and notes tracking for ADR management.

Claims Dashboard

The primeCLAIMS Dashboard provides a high-level view of primary and secondary claims that need attention. It quickly identifies and highlights authorizations, errors, rejections, claims on hold, and secondary claim candidates. Resolving these ensures all claims are processed and paid.

Secondary Claims Automation

primeCLAIMS ensures no revenue is missed by auto-filing secondary claims and post-primary adjudication in one click. Flagging candidates for quick validation and submission, saving time and standardizing processes for accuracy and consistency.

Eligibility Checks

primeCLAIMS enables easy eligibility checks for Medicare HETS and commercial insurance. Its web-based design allows checks even during admissions. Customized service types and groups simplify selection, saving time and reducing training.

Revenue Recovery Module

primeCLAIMS streamlines ADR workflows and reimbursement tracking, from case building to submission. Ensures timely task completion and documents are compiled into a single PDF for easy, error-free payer submission.

Vaccine Roster Billing

primeCLAIMS automates immunization billing with bulk submissions. Downloadable, auto-filled templates streamline the process, turning a tedious task into a major revenue stream—one client reclaimed $2.5M after transitioning to primeCLAIMS.

Aging Integration

primeCLAIMS easily shows how unpaid claims are affecting your aging and pinpoints missing claims for booked revenue.

Enrollment Module

primeCLAIMS streamlines payer onboarding with preloaded standard payers and real-time tracking for a smooth, transparent enrollment process.

Let's Accelerate Your Cashflow

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Targeted error detection before submission

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Reduction in claim turnaround

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Commercial claim payments

Powerful features that work together to transform your billing operations.

With features like aging integration for an enterprise-wide perspective, EzDDE for seamless eligibility verification, and our enrollment module for effortless payer setup, we help you reduce errors, shorten DSO, and unlock new revenue streams. Plus, our tenured billing professionals are here to support you every step of the way.

Ready to accelerate your cash flow? Book a Demo Today!

Structured Onboarding

Quick implementation with payer enrollment by location, supported by easy-to-follow status indicators and a dedicated implementation team.

Training that Sticks

Webinars and step-by-step guides help your team ramp quickly - reducing training burden and ensuring consistent workflows.

Powerful Integrations

Secure data exchange powered by a two-way PCC API, private pay with RevSpring + many more.

Experience + Focus

Based in Duluth, Georgia, primeCLAIMS has over 15 years of experience supporting healthcare billing teams. Originally created for skilled nursing facilities, our platform has grown into a comprehensive all-payer clearinghouse trusted by providers nationwide.

Integration + Support

primeCLAIMS, the first claims clearinghouse approved by the PointClickCare marketplace, offering seamless integrations to streamline your operations. A 24/7 support team and dedicated implementation specialists ensure customer support every step of the way.