Claims Management Product Sheet

More than just an all-payer claim processing engine, SCALE Claims Management is your web-based hub for managing insurance A/R for both professional and institutional claims.


Advanced RCM solutions built for high performance 

At the core of our RCM portfolio, you will find the SCALE® Claims Management system. More than just a claims processing engine, SCALE Claims Management is a secure, integrated platform that promotes a single source for managing A/R at hospitals, academic medical centers, physician groups and large CBOs nationwide. With a powerful suite of claim edits and an intelligent workflow design, SCALE Claims Management is the backbone of an improved revenue cycle. 

Key Features

  • All-payer claims processing for both professional and institutional claims
  • Claim edit suite consists of ANSI, carrier-specific and medical necessity
  • Unlimited client-specific edits at no additional cost
  • Standard or customized workflow management
  • National clean-claim acceptance rate over 99%
  • New payer connectivity at no additional cost
  • Powerful and flexible reporting tools with advanced query capability included
  • A+ rated data center delivering the security and assurances our clients expect