Pillar 03 of 05 · Process2PointIA

Every Claim, Priced Right. Every Overpayment, Recovered.

P2P Claims & Payment keeps every claim, fee schedule, and drug code accurate from intake to reimbursement — and automatically finds and fixes what was paid wrong, without ever touching the original record.

ClaimOps

Bulk claim status updates and denial processing.

RateLogic

Automated fee schedule generation and rate imports.

NDC IntelliSync

Drug code updates and pricing validation.

Recover

Automated repricing and reversal of paid claims.

Batch Queue

Excel / CSV

Updated

Update Status

Deny Claims

P2P Claims & Payment · ClaimOps

Update Thousands of Claims. One Batch at a Time.

A focused tool for bulk claims management — enabling mass claim status updates and claim denial processing via input files. Designed for efficient, auditable batch operations on large claim volumes.

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P2P Claims & Payment · RateLogic & NDC IntelliSync

Rates and Drug Codes That Stay Current, Automatically.

RateLogic

Fee Schedules That Keep Themselves Current.

A powerful utility for generating healthcare fee schedule inload files. Automates rate imports and produces files compatible with your healthcare management system — reducing manual effort and ensuring accuracy.

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NDC IntelliSync

Drug Codes That Are Always Accurate.

Automates the update, validation, and maintenance of National Drug Codes, keeping drug pricing and claims processing accurate across every health plan you manage.

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P2P Claims & Payment · Recover

Reprice Paid Claims Automatically. Without Touching the Original.

The RRE (Reverse & Recovery Engine) finds eligible paid claims, copies them, reprices the copy under current contract logic, and releases it to Accounts Payable — reversing the original only when the financial outcome actually changes.

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Sample Paid Claim

Eligible for Review

①

Eligibility Check

②

Create a Linked Copy

③

Reprice Copied Claim

④

Release to Accounts Payable

⑤

Original Claim Reversed

Scanning for eligible paid claims…

Let's Work Together

See What Accurate Claims
& Payment Looks Like.

Let's talk about where claims, rates, and drug codes are still slipping through manually — and how P2P Claims & Payment can close the gap.

Schedule a Free 30-Minute Consultation → Explore Process2PointIA™

Empowering healthcare and technology-driven organizations to achieve operational excellence through intelligent automation, advanced technology platforms, and strategic communications.

Every Claim, Priced Right. Every Overpayment, Recovered.

Update Thousands of Claims. One Batch at a Time.

Rates and Drug Codes That Stay Current, Automatically.

Fee Schedules That Keep Themselves Current.

Drug Codes That Are Always Accurate.

Reprice Paid Claims Automatically. Without Touching the Original.

See What Accurate Claims
& Payment Looks Like.

Company

Process2PointIA

Products

Every Claim, Priced Right. Every Overpayment, Recovered.

Update Thousands of Claims. One Batch at a Time.

Rates and Drug Codes That Stay Current, Automatically.

Fee Schedules That Keep Themselves Current.

Drug Codes That Are Always Accurate.

Reprice Paid Claims Automatically. Without Touching the Original.

See What Accurate Claims& Payment Looks Like.

Company

Process2PointIA

Products

See What Accurate Claims
& Payment Looks Like.