Research

Electronic Claims Reimbursement

PayStream Advisors developed Electronic Claims Reimbursement (ECR):EFT/ERA Trends from the Payer's Perspective to examine the opportunities for immediate improvements in efficiency and cost effectiveness between healthcare payers and providers.

This report aims to answer the following questions:

• What are the challenges in processing healthcare payments?
• What factors are driving interest in EFT/ERAs?
• What are the legislative mandates payers/insurers must address?
• Who are the key players in the market and what solutions do they offer?
• How can your organization go about selecting the solution that best fits your needs?

Electronic Claims Reimbursement

Table of Contents

1. Executive Summary
2. Industry Overview
3. PPACA and Pending Legislative Changes
4. The ERA/EFT Universe
5. Overview of ECR Functions and Features
6. Solution Provider Profiles
   1. Emdeon
   2. FIS
   3. InstaMed
   4. OptumHealth Financial Services
7. What You Should Do Now
8. General Requirement for Payer EFT/ERA
9. Selecting a Solution
10. Questions to Ask Before Making a Decision

Table of Graphics and Charts

1. Regulatory Calendar
2. ECR Cost Justification