Automated Claims Processing

Using SKYGEN USA’s innovative Enterprise platform, Holista performs automated claims processing to maximize efficiencies and keep administrative costs low for our clients. We strive for 100% auto-adjudication of claims by utilizing client-defined proprietary edits that move claims to the payment cycle or flag potential issues for review.

Our Provider Web Portal enables us to streamline claims submission from providers and offer them an efficient, responsive process for payment. The portal allows providers to enter and manage claims and authorizations, and to check whether patients are eligible for insurance benefits. Shortcut features that help streamline claim and authorization data entry are also available. Our automated capabilities deliver a paperless workflow that dramatically reduces the resources required for timely, accurate claims processing.