Claims Manager

Turn Claims Into Your Revenue Engine

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Get Paid More, Faster, for Less

Fueled by our AI-powered data intelligence platform, FinThrive Fusion^™, Claims Manager provides a single, powerful engine to automate your claim processing, streamline attachments and proactively prevent denials with predictive analytics to edit claims before submission.

Faster Payments with AI-driven Insights

Claims Manager doesn't just react to errors—it predicts and prevents them by continuously analyzing data from millions of claims to identify denial trends and automatically updates edits, ensuring your claims are clean before they’re ever submitted.

Seamless Integration

We work directly within your EHR to eliminate data silos and vendor complexities that slow you down, providing a single source of truth that improves visibility, control and real-time updates.

Proactive Denial Prevention

Our advanced analytics provide smarter, data-driven decisions that pinpoint the reasons behind denials, enabling targeted process improvements for proactive claim scrubbing and validation which helps reduce denial rates to less than 3%.

Solid partnerships. Solid results.

98%

Achieve a clean claim rate of up to 98%

3%

Reduce denial rates to less than 3%

<45 days

Significantly reduce your A/R cycle, often under 45 days

Claims Manager Features

Powerful Tools for Intelligent Claims Management

EHR integration allows you to work from one tool for real-time claim validation and updates for greater accuracy. Eliminate costly errors and streamline workflows to accelerate approvals and reduce administrative overhead.

EHR Integration

99%+ EDI Payers

FinThrive Claims Manager connects to 99%+ EDI payers, ensuring wide-reaching coverage. Gain faster payments and reduce claim rejections with broad payer access, improving cash flow and claim success rates.

Custom Edits

Add unlimited custom edits and bridge routines to tailor claims processing to your organization’s needs. Boost claims accuracy and reduce denials by adapting to specific payer rules, improving first-pass acceptance rates and minimizing rework.

Medicare Integration

Submit Medicare claims in real time using Direct Data Entry (DDE) to help drive faster and more accurate payments. Prevent RTPs with real-time eligibility edits and resolve RTPs directly in your EHR or Claims application to accelerate Medicare reimbursements and enhance efficiency and productivity.

Customization

A highly customizable and flexible solution that streamlines secondary claim creation and reconciliation, late charge merging and overlap detection. Tailor claim processing with custom logic, ensuring seamless alignment with your billing rules and EHR workflows.

Client Reference

Palomar Health Optimizes Claims Management with FinThrive

Travis Pitman, Palomar Health

What Our Customers Are Saying

The staff loves how much more user-friendly FinThrive is than our previous vendor. FinThrive is easy to understand and doesn’t require much training. The edits are easy and robust with good documentation.

Karen Hoppe

Director of Patient Financial Services, Lawrence General Hospital

We switched to FinThrive because of their superior integration with Epic EHR, customer service, Medicare Direct Claims, reconciliation, analytics and reporting, as well as compliance and auditing. Many of FinThrive’s staff are industry experts. FinThrive holds themselves accountable if a mistake occurs. Unlike our previous vendor, we can rely on FinThrive for accountability, communication, and customer service.

Lynn Toler

Director of Patient Financial Services, North Oaks Hospital

FinThrive’s Claims Manager is a complete tool—delivering automation, workflow, EDI clearinghouse and cash posting functionality. Our users are excited about it.

VP, Revenue Cycle

California-Based Health System

Overall, the product has been running very well. It’s in our long-term plans, partly because it’s integrated with our EMR. I like that the system’s claim edits tools are built into our EMR. That means that I don’t have a revenue cycle system doing one set of edits and a claims management solution doing a different set of edits. That integration makes things a lot easier for our team, and the system has worked very well for us.

CFO

Cybersecurity Assurance

Create a Redundancy Plan to Ensure Business Continuity

In case of a cyberattack, Claims Manager serves as a reliable secondary backup, enabling you to resume claims processing within hours or days, rather than months.

Think of the standby option as your cybersecurity “insurance.”