Payment Integrity departments interactions with Providers span from notifying them of an overpayment, requesting clinical information, addressing appeals and recovering overpaid claims. Most of these interactions are driven by legacy channels like paper and snail mail. While most Payers have provider portals, the Payment Integrity teams cannot leverage online interactions and reduce administrative costs. ClaimShark provider interface API can help change your interactions with Providers. ClaimShark can enable the following online interactions with Providers
- Overpayment notification
- Offset authorizations
- Gather additional information like clinical charts etc.
Our API framework will enable the above functionality to your existing Provider portal leading to the following benefits