Product Overview
- 01 CP001 - Payer Clearinghouse Claim Submission: Olive’s Clearinghouse aggregates claims from multiple submitters and provides frontend scrubbing capabilities, allowing claims to cleanly adjudicate through the payer’s system — reducing both pre-adjudication rejections and post-adjudication denials back to providers
- 02 NEMT001 - Clearinghouse Payer Non-Emergent Transport Claims (NEMT) Submission: Federal guidelines require state Medicaid plans to ensure that qualified beneficiaries have access to non-emergent transport to take them to and from providers. Olive’s Clearinghouse will take NEMT data from these service providers and build claims or encounter transactions that will meet payer requirements in non-standard 837 format
- 03 Upgrade: CH835 - Payer Clearinghouse Claim Submission- Payer Clearinghouse 835 Management CH835: Based on claim adjudication data, Olive’s Clearinghouse will create ANSI-compliant remittance files for plans that do not currently have the capability to return compliant 835 files to providers
Benefits
Faster deployment and seamless change management to mitigate risk of cash flow disruption - Immersive customer support
- Innovative automation and access to broader Olive capabilities for enterprise-wide transformation
- Custom edits to meet adjudication requirements
