Hospital administration requires access to insurance information from hundreds of payers across the US., and Recondo has developed proprietary, advanced technology tools to access and deliver current and accurate payer information and populate that data into Recondo software services.
Similar tools are called web robots or webbots. Recondo has enhanced and expanded traditional technology with many innovations and created an extensive set of ReconBots, all of which are deployed to extract, transform, and load current and accurate data from payer websites.
ReconBots Overview
Basics
- Increase automation significantly
- Access and deliver accumulators and data specific to generating accurate calculations of Patient Financial Responsibility
- Return better data (most payers have limited or no eligibility data on the EDI network)
- Access the same source used by providers, substantiating validity
- Provide all-payer data, solving one of a provider's biggest problems by not accessing each site individually
- Offers cost benefits to providers because ReconBots are very cost effective compared to EDI and significantly more cost-effective than phone calls
Benefits
- Streamlined processing to only get those benefits needed as compared to EDI
- Proactive monitoring providing high reliability
- Automated credentialing; e.g., advance notification of future expiration, role designation, and more
- Active collaboration with payers to identify maximum use of their transactions and websites
ReconBots
Ultimately, ReconBots organize payer data into valid X12 270/271 EDI transactions using Recondo software services rules-driven logic. This properly formatted EDI transaction can then be used both by Recondo services and hospital HIS systems, with no manual intervention. ReconBots reduce manual effort, improve productivity, increase accuracy, and lower cost.
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