Clinical services · Immunizations

The dose goes out and the claim builds itself

A dispensing event arrives, its product identifier resolves to a catalogue entry, and an encounter and a professional claim exist before anyone touches a keyboard. Attergo recognises the fill, builds the record and produces the claim.

Attergo: the prior authorization case list, showing cases by stage with the payer and the days remaining on each.
The problem

The service is documented in one system and paid on a form that system cannot produce

A dispensing system records an administration perfectly well. What it cannot do is produce a professional claim for it: a different form, a different identifier set, a payer the store may never have enrolled with, and codes nobody behind the counter was trained to choose. The dose gets documented, the claim never gets created, and the gap leaves no trace anywhere, because nothing was ever made that somebody could count.

What the platform does

The mechanism behind it.

The dispensing event builds the claim

Recognition runs on the fill itself. The product identifier resolves to a catalogue entry, the encounter is created from it, and the claim document is generated. Nobody picks a code and nobody re-keys a patient.

Lot, units and the signature are fields

The encounter carries the lot number, the units, the administration site, the attesting practitioner and the time they signed. What a reviewer asks about later was a required field at the time.

Checks configured from your payer rows

Before transmission the scrubber tests subscriber identifier format, authorization required for a procedure, a place of service a payer will not accept, a line with no diagnosis pointer, filing age, a missing expected modifier, units above the usual quantity, credentialing about to lapse, and a payer paying under its contract. Errors block transmission. Warnings do not.

Remittance is never posted behind your back

The remittance is parsed and matched against the claim, then held for a person to release. A payment that reconciles itself is a payment nobody checked.

Ask what a service costs you to deliver.

A read-only connection and credentials you can revoke. We come back with what the last month of clinical work produced, using your own numbers.