INTELLIGENT HEALTHCARE

Neural network-assisted payment posting and bulk ERA reconciliation.

Neural network-assisted payment posting that auto-reconciles complex bulk ERAs, PLB adjustments, split payments, and cross-over secondary coordination. We achieve 94% touchless auto-posting on electronic remittances.

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CORE OPERATIONAL BENCHMARK
94%

Touchless Auto-Posting Rate on 835 ERAs

DISCIPLINE ARCHITECTURE

How ARDA Health-Tech Delivers Operational Precision

A disciplined blend of autonomous software and clinical specialists executing with zero tolerance for administrative error.

AUTO-MATCH

Neural Matching Algorithms

Pattern recognition models matching split payments, bundled fees, and partial allowances to original claim line items.

PLB RESOLUTION

Automated PLB Code Classification

Instant decomposition of Provider-Level Balance adjustments, forward balances, interest payments, and capitation offsets.

SECONDARY

Automated Secondary Claim Generation

Automatic generation of secondary electronic claims with primary payment data attached upon 835 ingestion.

PROVEN OUTCOMES

Measurable Revenue & Efficiency Gains

Clear operational deliverables backed by strict Service Level Agreements (SLAs).

  • ✓ 94% touchless auto-posting rate achieved on standard and complex multi-line 835 electronic remittances
  • ✓ Same-day posting of electronic remittances ensuring up-to-the-minute account balance accuracy
  • ✓ Immediate identification of payer underpayments against contracted allowable fee schedules
  • ✓ 100% daily reconciliation against bank deposit lockboxes and clearinghouse transfer files

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