Optum Insight Electronic Claims

Electronic claims submissions for timely, accurate payments

optum1st Providers Choice’s leading medical billing and collections software works with Optum Insight to deliver a highly accurate electronic claims processing solution. Our module not only streamlines the claims submission process. It also has advanced claims scrubbing capabilities that are designed to prevent denials, ensuring that your practice gets paid on time. If coding errors are identified by our software – either due to data entry errors or missing fields – you can easily enter the payer’s system, fix the issue and resubmit the claim for prompt payment.

Optum-Integrated Software Benefits

  • Determine patient eligibility instantly
  • Track claims status in real time
  • Post electronic payments in seconds
  • Reduce labor costs for each electronic claim payment sent
  • Provide access to multiple payers
  • Receive electronic remittance advice (ERA) from more than 400 insurers

Compliance Testing and Validation

Our software also features an advanced testing and validation suite powered by Optum, which identifies potential compliance issues before claims are submitted to the clearinghouse. We allow you to test ANSI X12 transaction and validate for ICD-9, ICD-10 and HIPAA.

Submit claims right the first time for timely reimbursement. Contact us to get started!

ICD-10 Education Program

1st Provider’s Choice has teamed up with Optum360 to provide an ICD-10 educational course focused on every stakeholder. Read the brochure to learn more.