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Coordination of Benefits
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Streamline the process of secondary billing.
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• Automatically identify secondary electronic claim submission files
• Enrich your secondary claims with primary payment data
• Organize secondary electronic claim submission files into a work queue
• Integrate with existing claim file processes
If your facility already submits electronic 837 claim data and receives electronic 835
remittance information, why not also make your secondary billing electronic? Streamline
the process of billing secondary claims with Rycan’s Coordination of Benefits (COB) Module.
Our web-based software automatically identifies secondary claims, enriches them with primary
payment data, and organizes them in our COB work queue for easy review and submission.
System Integration: The COB Module can be easily integrated with your existing claim file
processes to automatically add primary payments to secondary claims. When electronic 837
claims are loaded into our system, corresponding payment information is automatically added
to the COB output file. Rycan brings together all of your facility’s payment information for
effortless secondary billing.
COB Work Queue: Rycan automatically brings together your secondary claims that lack primary
payment information in our COB work queue. Users will see which claims need to be worked and
which claims are ready to be billed. COB work queues can be filtered by primary payer or
destination payer, bringing to your staff’s attention secondary claims that need to be addressed.
We give your staff the ability to electronically review a secondary claim right from within their
work queue and attach any primary payment information that is needed. Our system calculates payment
information, ensuring that your secondary claims are balanced and correct before being submitted
for billing.
Manual Entry: If the primary electronic 835 file is not available, primary payment data can be
manually entered onto the secondary claim in our COB claim screen using the original paper remittance.
We allow you to set up adjustment codes that match the codes and descriptions shown on paper remittance
to help your staff easily enter payment information. Our solution tells your staff what information is
needed to make a secondary claim ready for billing.
Multi-Payer Customization: Different payers require different prior payment information on secondary claims.
Some payers want to see primary payment information exactly as it appeared on the previous claim, while others
just want a sum of the prior payments and adjustments. Rycan allows you to customize our system for specific
payers and the payment information they require when entering data onto secondary claims.
By automating the entry of primary payment information onto electronic secondary claims, your facility will
save time and ensure that secondary billing information is accurate and correct. Rycan’s COB Module brings
all of your billing information together into a single system, providing your facility with the means to
effortlessly submit electronic secondary claims.
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