ClaimsXM
The Industry's Most Secure Claims Processing Platform Hosted in the Government Cloud.
ClaimsXM is a scalable, next-generation managed service that integrates claims administration and customer service to ensure timely, accurate healthcare payments. Built on the trusted Facets® Core Administration platform and hosted in the secure government cloud, ClaimsXM combines industry expertise, streamlined processes, advanced technology, and data insights to meet the needs of each individual user.
Streamline Your Operations with ClaimsXM Customizable Configurations
Modular Capabilities
​
ClaimsXM is capable of handling various functions of a health plan beyond claims processing including billing, auto-enrollment and others to allow for client customization.
Configuration​
​
The Modularity in ClaimsXMs design allows for rapid configuration changes to specific program areas without incurring costly and untimely implementations.
Hosted Model​
​
ClaimsXM is a multi-tenant cloud hosted model that ensures client autonomy and security while maintaining cost-effective and scalable solutions.
ClaimsXM Excellence By The Numbers
By automating healthcare claims administration, Signature Performance's ClaimsXM Platform reduces the time required to handle each claim, allowing Payers to process a higher volume of claims with efficiency and accuracy.
96%
30 Day Payments
94%
Auto-Adjudication Rate
2 Days
Clean Claim Rate
The ClaimsXM Difference
Hosted in the secure cloud, ClaimsXM meets rigorous security standards and has the ability to host any system on a Day 1 FedRAMP® authorized platform.
With our data-driven approach, ClaimsXM effectively streamlines administrative functions, eliminates administrative backlogs, and addresses manual claims challenges.
The Integration of ClaimsXM and our workflow design provides seamless integration with various electronic health record (EHR) platforms.
ClaimsXM Capabilities
Health Plan Administration
Member, Contract, and Provider Management
Payer Credentialing
Coordination of Benefits | eOHI Discovery
Paper to Electronic
Document and Workflow Management
Data Analytics and Reporting
Referral and Authorization
Electronic Claims Management
Payment Integrity
Auto and Manual Claims Adjudication and Processing
Payment Processes
Payment/Pricing Methodology
Enhance Your Operations with ClaimsXM
01
Improve Claims Processing Timeliness
03
Reduce Provider Frustrations
02
Increase Accuracy and Transparency
04
Improve Compliance and Security
Learn More About Our Healthcare Solutions
Our team of industry experts have experience working with both payers and providers in the Federal and Commercial sectors of healthcare. Not finding what you're looking for? Check out Signature's other healthcare solutions or connect with one of our healthcare professionals for additional information.