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Point Solutions

ClaimXpert™

End-to-end claims accuracy, speed, and compliance — powered by automation

ClaimXpert unifies SYNERGEN Health’s billing data entry, eligibility & benefits verification, coverage discovery and prior authorization, plus coding automation into one streamlined workflow—so you can reduce manual work, improve accuracy, and accelerate reimbursement.

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digital healthcare RCM software

Why ClaimXpert

Poor data quality due to manual entry, inconsistent workflows, and lack of validation leads to denials and slower reimbursement . ClaimXpert brings your claim lifecycle into a single, automated flow—robust data validation up front, verifying coverage and applying coding rules in real time. The result: fewer denials, higher first-pass claim rates, and improvements in staff efficiencies.

Claimxpert software

Proven impact

70

70% reduction in manual hours for billing data entry

99

99% clean claim rate with upfront validations

55

55% fewer eligibility related denials

98

>98% coding accuracy

How ClaimXpert Works

Built for your ecosystem:

  • Flexible integration with PMS, EMR, clearinghouses, and data lakes
  • Configurable rules by client, payer, CPT/ICD-10 codes and specialty
  • High-volume performance to support large enterprises and scale faster
1

Ingest & Validate

Intake from HL7/API/CSV; normalize and auto-validate fields with configurable rules.
2

Verify & Authorize

Run eligibility, and prior-authorization checks; verify coverage discovery when needed.
3

Code & Prepare

Apply rules-based coding and payer-specific edits and flag exceptions.
4

Submit & Track

Claim submission; dashboard visibility into throughput and rejections.
5

Optimize

Analyze denials and rule effectiveness; tune validations and coding logic for continuous gains.

Wondering how ClaimXpert™ could benefit your organization?

Gain a full-spectrum view of your claims lifecycle and uncover efficiency gains and revenue opportunities with our complimentary ClaimXpert evaluation.

Request an opportunity assessment