Flexible Solutions for Growing Partners
Our diverse & talented team of claims, risk management, medical & technology experts means you are selecting a team with comprehensive & extensive expertise of the entire insurance & healthcare industries.
We stake our reputation on delivering measurable results from our healthcare EDI clearinghouse and electronic prior authorization solutions for workers’ comp — paired with superior client service — and we have the technology and experience to back it up. “Best Practice” is our standard. Our team has developed a method for supporting EDI user integration in a way that creates measurable positive financial impact while consistently improving the daily user experience. It’s an approach proven to enhance existing claim processes, better serve high-value clients, multiply revenue, and improve revenue cycle management.
A Value-Based Approach to EDI & P&C Claims That Simply Works For You
Why Are We Focused on the EDI Process For Specialty Claims & Workers’ Comp?
Swiftivity® is powered by RMSOA, which invested its heart and soul to design a new EDI model. Established in 1996, Risk Management Solutions of America, Inc. (RMSOA) is a premier Back Office Support Systems (B.O.S.S®) services company in North America. Our combined goal is to provide you with a vital link between risk, underwriting, and claims management. RMSOA has primarily worked with national and regional insurance carriers, third party claims administrators, and brokers.
With a strong background in workers’ compensation, it was decided to develop a communication tool to improve the workflow between medical providers and payers. With thousands of medical providers adopting EDI, RMSOA/Swiftivity® recognized it was no longer a question of if EDI worked — the challenge was to find ways to enhance the service and improve outcomes. With our provider portal, easy integration mapping, and electronic authorization with our proprietary conference call scheduling tool, we have achieved our goal.