Page 13 - Jopari Product Brochure 2018

Jopari Adjustor Portal®
Features:
SINGLE WORKFLOW ARCHITECTURE
• Seamless Support for eBill & Paper Bill Processing
• Inbound EDI Bill Data / Bill Image Accommodation
• Inbound Paper-converted Bill Data / Bill Image Accommodation (Optional)
SECURE USER AUTHENTICATION
• Individual user access with multi-level Password Security Rules
RIGHTS / ROLES ADMINISTRATION
• Establish “view only” to full processing rights to Administrator roles
• Create escalation rules and queues, and workflows
BILL TO CLAIM INDEXING
BILL TO PROVIDER FILE INDEXING
BILL VALIDATION
• Jurisdictional Rules
• Payer Specific Rules
FLEXIBLE MANAGER / ADJUSTOR VIEW
• Inbound Task List Management
• Bill Approval / Payment Approval / Bill Re-Indexing
EBILL AND ATTACHMENT VIEW
modify
BILL DATA
• Payer Specific Task Escalation
• Approval / Reject / Re-Index
APPROVAL ROUTING TO BILL REVIEW
• Feedback / Messaging from Bill Review Vendor (Optional)
NOTES
• Claim Level / Bill Level
DIARY
• Records Claim Level System Events
INTEGRATION OF NOTES / DIARY TO CLAIMS MANAGEMENT SYSTEM / DOCUMENTS
PAYMENT APPROVAL WORKFLOW QUEUE (OPTIONAL)
• Approval / Adjustment / Denial
DENIAL REASON / FREE TEXT ACCOMMODATION
DASHBOARD VIEW FOR LOCATING DATA
• Robust Search / Retrieve capabilities
SUPPORT FOR:
• Paper-converted bills
• Paper-converted correspondence and reports
• EDI Bills and attachments • Payment Records
• Diary / Notes
• Jurisdictional Payment Timeframe Indicators • Rendered “Clear View” Bill Image Rendering
Contact: Don St. Jacques at 630.235.9282 • don_stjacques@jopari.com • www.jopari.com
Page 13