Real-Time Adjudication


Redefining Claims Processing

The value of our real-time adjudication lies in the direct communication line between a healthcare provider and a payer. This allows for a completely adjudicated claim in each instance. The end result of our synchronous real-time solution is the articulation of patient financial liability at the time of service. Powered by XeoRules™ the adjudication is based on medical policy, member benefits and provider contracts. Our solution provides a complete response each and every time, providing the foundation for true e-commerce in healthcare.

How XeoHealth Can Help

  • Administrative simplification by providing adjudicated results at point of service;

  • Improve satisfaction levels of Providers & Members due to efficient & accurate claims processing;

  • Provide market differentiation for Payers;

  • Provides the foundation for true e-commerce in healthcare.

More XeoHealth Solutions

  • XeoRules™

    Respond to requirements while creating new and innovative benefit designs.