Keep all your claims on track

ABILITY CHOICE® All-Payer Claims

Now you can speed up your revenue cycle and reduce A/R days for all your payers. ABILITY CHOICE All-Payer Claims is an easy-to-use electronic claims management application that allows users to submit, edit and receive claims for Medicare, Medicaid and more than 3,000 commercial insurance companies. You’ll also gain insights into your organization’s performance with billing and coding analysis tools. Keep on top of all your claims — and keep your revenue on track.
  • Providers with billing software: Leave paper claims behind – submit electronic claims to all your payers, with 24/7/365 accessibility. Use the simple batch upload service for processing all 837 EDI-compliant claim formats. Data translation and mapping services are also available for Print Image and NSF formats.
  • Providers without billing software: You’re covered, too! For professional claims, you can key data directly into an electronic CMS-1500 form via a secure web portal, and save important information for future use. For institutional claims, you can key data into an electronic CMS 1450 (formerly UB-04) form.
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Core benefits

  • SAVE TIME, STREAMLINE WORKFLOW

    Submit claims for all or some of your payers, with 24/7/365 accessibility. Download your ERAs in 835 format or view a readable version directly in our portal. With another click, you can access and sort all your rejected claims in one place, and filter by reason code.

  • REDUCE ERRORS AND EDIT CLAIMS EASILY

    Industry-standard rules engine flags claim errors before they are sent to the payer. When a mistake does occur, easily correct and resubmit claims directly via the editing tool.

  • GET A SNAPSHOT OF YOUR ORGANIZATION’S PERFORMANCE

    Analysis tools provide an overview of active errors, claims submitted and remittance advices you could be receiving electronically.

  • SUBMIT CLEANER CLAIMS, MORE FIRST-PASS APPROVALS

    Our embedded, industry-standard rules engine uses updated, current rules from commercial payers to CMS and more:

    • UB-04 / CMS 1500 Rules
    • HIPAA 5010 Rules
    • Payer-Specific Rules
    • MAC Regional Rules
    • Medicare Code Editor (MCE)
    • HCPC/CPT/ICD
    • Outpatient Code Editor (OCE)

myABILITY®

Connect to all of your ABILITY services via myABILITY, a SaaS delivery offering within the Inovalon ONE® Platform that gives you on-demand access to everything you need. Whether you need quality analytics, eligibility and claims, revenue cycle management or workforce management services, ABILITY can help your clinical, financial, operational and administrative areas work more effectively and efficiently.