What is the name of the process that allows for immediate claim submission and response during patient checkout?

The process that allows for immediate claim submission and response during patient checkout is known as RTCA, which stands for Real-Time Claim Adjudication. This system enables healthcare providers to submit claims to payers at the point of service, ensuring that the claim is processed and a response is generated almost instantaneously. This immediate feedback allows for verification of patient eligibility, benefit coverage, and potential patient financial responsibility before the patient leaves the office.

RTCA simplifies the billing process, enhances cash flow, and improves the patient experience by providing clear and prompt information regarding their payment obligations. By facilitating this two-way communication between providers and insurers directly during the checkout process, providers can streamline their operations and reduce the time spent on follow-ups or rejections later on.

Understanding this process is crucial for medical billing professionals, as it plays a significant role in reducing administrative burdens and accelerating revenue cycles in healthcare settings.