Health Claims Processing Technology Solutions

SpyGlass, our premier, web-based health claims processing technology offers a powerful, flexible solution for best-in-class accurate and timely claims processing. SpyGlass makes benefit and plan setup remarkably straightforward and handles full medical, dental, vision, short and long-term disability, time-loss payments, COBRA, and life claims. Our configurable, rules-based engine automates straightforward to highly intricate benefit calculations and allows business users to easily manage plan setup for increased security and improved workflow.

SpyGlass includes an all-in-one EDI gateway and scheduler that delivers system-wide efficiencies to your full EDI transaction life cycles. Our application works as a hub, allowing you to directly connect with vendors to automate inbound and outbound transfers, orchestrate complex workflows, and help avoid transaction costs.

Optionally, SpyGlass can include an integrated clinical code editing solution to provide control over fraud, waste, and abuse while streamlining all processes related to claims management. Together, this improves payment accuracy and reduces unnecessary medical costs with clinically-supported claims analysis and rationales, all without any disruptions to your current workflows.

  • Remarkable Ease-of-Use
    Vastly reduce training time, cost, and burden.
  • Cloud-Based Technology
    Access the application from any location, on any device.
  • Intelligent Dashboards
    Real-time data and metrics are at your fingertips, including KPIs and an accumulative snapshot of population health.
  • Real-Time Reporting
    Powerful and flexible standard and ad-hoc reporting tools with one-click exporting.
  • Dynamic Correspondence
    Automatic generation of letters and follow-up correspondence based on the templates you design and schedules you control.
  • Advanced Tools
    Integration with Microsoft Word and Excel to deliver the flexibility and functionality necessary to increase efficiency and improve performance.

To learn more about how SpyGlass can help your organization reach new levels of automation, efficiency, and productivity, visit https://www.beaconspyglass.com/

To schedule a software demonstration, visit https://www.beaconspyglass.com/demo

SpyGlass Brochure