Validates healthcare claims and manages denial reviews, appeals, and audits in Salesforce Platform.

Facts verified appexchange.salesforce.comAd-free rankings
PRICINGPaid
DEPLOYMENTCloud
CATEGORYFinance
UPDATED ON MARKETPLACE
Claim WRX — screenshot from the Salesforce AppExchange listing

What it does

Claim WRX supports coding, modifier, DRG, and APC validation using the vendor's or an existing encoder. The product supports clinical appeals, readmissions, and medical decision denials, along with claim audits from the Letter of Intent through adjudication. It is a cloud-based SaaS product that the vendor states requires no IT integration.

Key capabilities

from the Salesforce AppExchange listing

Claim validation

Supports coding, modifier, DRG, and APC validation using the vendor's or an existing encoder.

Denial analysis

Captures denial details for later aggregation and root-cause analysis.

Clinical appeals

Supports appeals involving clinical decisions, readmissions, and medical decision denials.

Claim audits

Reporting

Provides customized reports, error-rate identification, root-cause analysis, and related fiscal impacts.

In the catalog

295 plugins in Salesforce Platform · Finance

Price distribution: 53 free, 14 freemium, 228 paid

Pricing & deployment

Platform
Salesforce
Product
Salesforce Platform
Deployment
Cloud
Pricing
Paid

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What the vendor says

«Let us Customize this space for you! You likely know your coding “pain points” all too well. That is the space we want to occupy, the tough stuff. Using your encoder or ours, we will assess and customize a series of reports, develop a workflow, and apply our focus in this order RECOVER your hard-earned dollars CAPTURE …»

Official marketplace listing

Publisher
Medlinks Cost Containment, Inc. (Home of Claim WRX)
Updated on marketplace
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