Claims
Automated claim generation and submission
Refract pulls encounter data from your EHR, applies scrubbing rules, and submits clean claims electronically — reducing rejections before they happen.
- Automatic charge capture from encounters
- Built-in CCI and LCD edit checks
- Electronic submission to all major payers
Eligibility
Real-time insurance verification
Check patient coverage before the appointment. Refract surfaces co-pays, deductibles, and authorization requirements so nothing surprises your front desk.
- Batch and on-demand eligibility checks
- Coverage details returned in seconds
- Flags patients with lapsed or changed coverage
Payments
Automated payment posting
ERAs are matched to claims and posted without manual intervention. Underpayments and denials are flagged immediately for your team to review.
- ERA/EOB auto-matching and posting
- Contractual adjustment validation
- Patient responsibility calculation