Financial Management

For many human services organizations, the combination of high-volume payment requests from care providers and finicky Medicaid-reimbursement rules presents difficult logistical and financial challenges. In the absence of sophisticated financial processing systems, these organizations are burdened with inflated administrative overhead costs and strained relationships with their provider networks resulting from delays in reimbursement.

Medicaid Claims Processing Made Easy

Harmony Financial Management™ is a fully integrated component of Harmony's suite of products that automates Medicaid claims processing and improves the management of member eligibility and enrollments, benefit plans, and service authorization. The product supports HIPAA compliance claims submissions through a variety of means, including electronic file (837) submission and user-friendly manual entry screens for both single-claim and batch entry.

With Harmony Financial Management, you can:

Automatically determine and update Medicaid eligibility for each consumer
Improve Medicaid approval rates and accelerate remittance
Maximize the use of available funding through improved management of complex federal and state match requirements
Increase provider satisfaction through quick identification and resolution of problematic claims
Reduce administrative overhead through efficient eligibility, service authorization, and claims processing

Harmony Financial Management currently accommodates the following HIPAA compliant transaction sets:
997 – Functional Acknowledgement
837 – Health Care Claim
835 – Health Care Claim Payment/Advice
270/271 – Health Care Benefit Inquiry and Response