Bloodhound Inc., Acclamation Systems Add to Efficiency of Claims Adjudication Process

Bloodhound Inc. announced an agreement with Acclamation Systems Inc. to provide greater technical integration for their respective services and applications, to existing and future customers in the medical claims processing industry.

The two companies have also established co-marketing programs to ensure that customers have the latest knowledge in the on-going challenge to prevent overpayment of claims while meeting the regulatory and contractual obligations for rapid payment to providers.

ASI provides LuminX, a comprehensive, enterprise-wide, automated benefit management system designed for organizations entrusted with the responsibility of administering health care and other benefits. ASI has successfully created a technical interface to transfer claims information into Bloodhound operations for immediate processing. Claims are analyzed and edited for accuracy and re-submitted to ASI’s LuminX system.

The client reportedly benefits by knowing that each claim has been adjudicated against 14 million editing rules (including intraline and interline duplicates, re-bundling etc) and that the claim has therefore been edited appropriately for optimal payment. The result is reportedly increased savings for the medical claims payor and greater reliability for the adjudication process.