Oystehr’s claims submission service allows you to directly submit claims to any payer. You don’t need to contract for or configure a clearinghouse or otherwise arrange for external accounts and access to process submissions, Oystehr handles all of that under the hood.
You can leverage our claims service to automate data configuration to any biller to eliminate manual tasks in the billing process.
The Oystehr Claims Service provides a robust API for users to seamlessly submit insurance claims. This service streamlines the process by wrapping key claims APIs and automatically generating FHIR resources to represent claims while accommodating different customer requirements within the EHR system.
What our Claims Service does:
This service serves as a bridge within Oystehr, facilitating the submission of insurance claims. It allows users to:
By using Oystehr’s claims service, you can experience:
Get FHIR, USCDI, ONC, X12 and HIPAA from the start. Health-tech software is highly regulated. Multiple organizations govern complicated, overlapping standards. Legislative and statutory mandates change regularly. Payers, states, and exchanges have their own requirements. Oystehr does the heavy lifting to ensure your application maintains compliance in a shifting landscape.
Read MoreOystehr is an API-first solution. You can invoke Oystehr APIs entirely a la carte. There is no data silo, no obligation to use any particular front-end. You can use our open-source EHR or not. You can maintain your own database or not. You can build an application entirely on Oystehr’s hosted infrastructure or interact strictly with the APIs you need statelessly. You can create inbound Zambdas (serverless hosted functions) that accept invocations from external systems, and you can create outbound Zambas that listen for Oystehr events and push data to external systems. You will not experience the restrictions on external integrations that monolithic EHRs impose.
Read MoreOystehr offers a comprehensive read/write FHIR API and hosted storage for both R4 and R5. It’s almost table-stakes, but because so few EHR vendors actually offer full, unrestricted FHIR access, it’s important. FHIR is the native data model of Oystehr, not a bolt-on afterthought. We support multiple versions of FHIR and an upgrade path as new versions are released. However, we view Oystehr as “more than just a FHIR store.” Offering direct FHIR access is critical for interoperability and implementing many workflows, but the real power of Oystehr’s FHIR API is that it is directly integrated with all our other service offerings. So, if you want to do an insurance validation, claims submission, order a diagnostic test, initiate a video telemed call, or support SMS or text chat, you can do so directly from Oystehr APIs and appropriate FHIR records are created.
Read MoreOur new behavioral health intake application, built on Oystehr, allowed us to build a solution that is customized for our use including scheduling, insurance validation, and direct integration with our eClinicalWorks EHR.
Chief Medical Information Officer at PM Pediatric Care