Industries
We work with State Counties, Health Care Plans and Health Care Providers. Dimension Reports will work with you to set up your own custom report configuration. We provide dashboards, pivot tables, data roll-ups, data grouping and charting. The reports can be published to the Cloud, to your own web server, emailed to you as personal reports, or we can host the reports for you.
Dimension Reports aids counties by assisting them with Fee-For-Service claims they manage with the health providers. Counties simply submit all existing 837 and 835 HIPAA EDI transmissions to our HIPAA HUB. Our Claim Reporting solution then reconciles claim lines with payments or denials resulting in billing efficiency and speedier provider reimbursements.
By providing interactive denial reporting with detailed denial reasons, counties achieve quicker correction times and receive rapid billing error feedback. Faster rebilling ensures providers receive payments within the allotted billing period.
The Claim Reporting includes pertinent data for individual claims, including member demographics, service information, diagnosis codes, aid codes, and rendering provider information. This allows counties to better anticipate the needs of both their members and their providers.
Payments are shown in different funding categories, such as FFP, County and State General Fund. Reconciliation, Cost Reporting and Budgeting teams benefit when complex financial data is readily available.
Dimension Reports aids Managed Care Plans with enrollment and associated capitated payments. By uploading existing 834 and 820 HIPAA EDI transmissions to our HIPAA HUB, our Enrollment Reporting provides a solution for the complex tasks of reconciling enrollments with capitation payments and tracking enrollment, disenrollment, beneficiaries and rates.
Encounter data generated by health care providers, such as doctors and hospitals, can all be consumed by our HIPAA HUB in the form of 837 EDI transmissions. We can generate custom formats (i.e. CSV, XML) providing health plans the outputs needed for the multiple reporting requirements instituted by Medi-Cal State authorities.
Medi-Cal providers benefit from Claim Reporting by getting up-to-date information regarding payments and denials from the healthcare state agency.
By providing interactive denial reporting with detailed denial reasons, providers achieve quicker correction times and rapid billing error feedback. Faster rebilling ensures providers correct claims and receive payments within the allotted billing period.
