Transforming the Claims Revenue Cycle

Exela’s PCH Global is a powerful digital exchange platform for the healthcare industry that provides a single point of access for claims management, correspondence, and payments.

Through digitization and automation, PCH Global provides a complete claims cycle management solution that can be connected to numerous payers.

Enjoy the benefits of enhanced visibility into the status of your claims, open communication channels for working with payers, and accelerated cycle times for improved cash flow management.

  Get in touch  

Transforming the Claims Revenue Cycle

Exela’s PCH Global is a powerful digital exchange platform for the healthcare industry that provides a single point of access for claims management, correspondence, and payments.

Through digitization and automation, PCH Global provides a complete claims cycle management solution that can be connected to numerous payers.

Enjoy the benefits of enhanced visibility into the status of your claims, open communication channels for working with payers, and accelerated cycle times for improved cash flow management.

Get in touch

Exela PCH Global Claims Platform Enables Value-Based Outcomes

5/5
Top US
Healthcare
Payers

9/10
Top US
Insurance Companies

50
Global
Insurance
Companies

900
Hospitals
& Health
Systems

8,000
Healthcare Providers

Claims Processing

Removing Complexity and Unifying Stakeholders

Healthcare claims processing is often a needlessly complex web of disparate systems and processes, made even less efficient when handled manually.

PCH Global enables direct communication with multiple payers and data systems from a single web portal to reduce friction and simplify claims management. Automation capabilities help streamline the full claims revenue cycle, from claims submission, to claims status checks, and tracking payments.

Removing Complexity and Unifying Stakeholders

Healthcare claims processing is often a needlessly complex web of disparate systems and processes, made even less efficient when handled manually.

PCH Global enables direct communication with multiple payers and data systems from a single web portal to reduce friction and simplify claims management. Automation capabilities help streamline the full claims revenue cycle, from claims submission, to claims status checks, and tracking payments.

Claims Processing

Edit Validation Prior to Submission

PCH automatically identifies “Certain to Deny” claims, increasing first-pass billing accuracy rates by an average of 24-31%, which directly reduces the volume of denials and manual claims processing to improve DSO.

Exela’s edit engines validate all SNIP edits and clinical edits based on general payer guidelines for commercial, medicare, and medicaid processing.

PCH Global can validate:

  • Clinical Edits
  • Duplicate Edits
  • Prior Authorization Edits
  • Operational Edits (Provider Credentialing)
  • Attachment Edits
  • Administrative Edits
  • FWA Edits
  • Eligibility Verifications

Edit Validation Prior to Submission

PCH automatically identifies “Certain to Deny” claims, increasing first-pass billing accuracy rates by an average of 24-31%, which directly reduces the volume of denials and manual claims processing to improve DSO.

Exela’s edit engines validate all SNIP edits and clinical edits based on general payer guidelines for commercial, medicare, and medicaid processing.

PCH Global can validate:

  • Clinical Edits
  • Duplicate Edits
  • Prior Authorization Edits
  • Operational Edits (Provider Credentialing)
  • Attachment Edits
  • Administrative Edits
  • FWA Edits
  • Eligibility Verifications
Prevent Denials

Continuous System Improvement

Iterative feedback loop technology allows the system to continuously learn and improve. Predictive analytics identify errors in claims to enable proactive claims management and system flexibility as your contracts change. As payer rules change and are added to our platform, these exceptions are also available for all providers using PCH Claims Manager to submit claims.


Continuous System Improvement

Iterative feedback loop technology allows the system to continuously learn and improve. Predictive analytics identify errors in claims to enable proactive claims management and system flexibility as your contracts change. As payer rules change and are added to our platform, these exceptions are also available for all providers using PCH Claims Manager to submit claims.

Prevent Denials

Increased Visibility and Transparency

PCH Global automatically tracks and records any addition, deletion, or modification of transactions, along with user references and timestamps for all entries in the system. This provides a clear audit trail and ensures full compliance.

Increased Visibility and Transparency

PCH Global automatically tracks and records any addition, deletion, or modification of transactions, along with user references and timestamps for all entries in the system. This provides a clear audit trail and ensures full compliance.

Medical Lockbox Integration

By integrating with Exela’s Medical Lockbox solution, PCH Global centralizes the processing of payments received across multiple channels, including lockbox check payments, ACH payments, and virtual card payments. This provides complete visibility for all payment types along with associated EOB digitization services (conversion to 835).


Medical Lockbox Integration

By integrating with Exela’s Medical Lockbox solution, PCH Global centralizes the processing of payments received across multiple channels, including lockbox check payments, ACH payments, and virtual card payments. This provides complete visibility for all payment types along with associated EOB digitization services (conversion to 835).

Better Claims Management

PCH Global provides a claims processing solution that bridges the gap between payers and providers and automates claims processing to accelerate cycle times and reduce administrative costs.

Schedule a call with one of our consultants to learn more about how the PCH Global platform can integrate with your current systems to improve the way you manage claims.

Contact Us

Better Claims Management

PCH Global provides a claims processing solution that bridges the gap between payers and providers and automates claims processing to accelerate cycle times and reduce administrative costs.

Schedule a call with one of our consultants to learn more about how the PCH Global platform can integrate with your current systems to improve the way you manage claims.