KnowledgeSource

nThrive provides comprehensive solutions to manage Claims/Billing, Contract Management, Eligibility and Benefits, Patient Management, and Remittance Management products and services.  Claims Management solution support editing, correction, and clearinghouse functionality for claims.  Institutional and professional billing, Claim Status Inquiry and Response, and Medicare Direct Data Entry are supported.  Contract Management support calculating expected reimbursement for institutional and professional claims, Contract Modeling, and Reserves Management.  Patient Access Suite provides Eligibility and Benefits Management, Address and ID Validation Service, and CarePricer, which can determine a pre-care estimate for the Patient’s cost for healthcare services.  Remittance Management supports clearinghouse functionality for Electronic Remittance Advice (ERA), a.k.a. The 835 file.  EFT/ERA Reconciliation makes sure the payments are posted when the check is deposited.