MedicareRT Claims System

Improve Medicare claims accuracy for faster payment

Optum™ MedicareRT® Claims System provides real-time Medicare claim review and editing prior to claim processing to enhance accuracy and reduce collection time. MedicareRT Claims System automatically retrieves your claims file, runs the edits and eligibility process and submits clean claims so you can get paid sooner and avoid future take-backs.

Process Medicare claims faster

MedicareRT-processed claims are accepted through Medicare’s online system more than 95 percent of the time, reducing adjudication rates and accounts receivable days. For those claims that are returned, the return-to-provider (RTP) codes and status information allows hospital staff to quickly fix and resubmit the claims for adjudication.

Improve claims integrity and efficiency

MedicareRT automatically performs claim import, submission, eligibility and statusing on all Medicare claims. Likewise, it accelerates and automates secondary claim submission and quickly identifies claims to correct and re-submit.

Keep track of claims status

MedicareRT provides a wide range of reports to identify the status of billed and unbilled claims, summarize claim errors and provide both summary and detail about claims entered directly into the Medicare system.

Key benefits:

  • Reduce rejections, denials and accounts receivable days
  • Improve first-time acceptance rates
  • Reduce RTP claims that jeopardize Medicare billing performance
  • Identify claims to correct and re-submit

We’re ready to put our platform to work for you. Let’s start the conversation.
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For information about an Optum360 solution for your business please complete the form below. To speak with us sooner call 1-866-223-4730 or email Optum360@optum.com.

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