Claims
Enable claims, run eligibility checks, submit and track claims, and handle remittance.
Enabling and Understanding ClaimsSeniorverse can turn a finalized invoice into one or more electronic insurance claims and submit them to payers on your behalf.Submitting and Tracking ClaimsOnce a claims-enabled invoice has generated its claims, you submit them electronically to payers and track their progress.Running Eligibility ChecksBefore you bill an insurer, you want to confirm the member is actually covered. Seniorverse runs real-time eligibility checks against the payer using EDI: a 270 request asks "is this member eligible?" and the…Receiving Remittance and the Files TabAfter a payer processes your claims, it sends back an electronic remittance. The 835 transaction — commonly called an ERA (Electronic Remittance Advice) — is the payer's statement of what it paid, adjusted, or…