Integrated Solution Expands ClaimsPay^® Capabilities with Comprehensive Remittance Data and Flexible Access for Healthcare Providers

One Inc, the leading digital payments network for the insurance industry, today announced the launch of its advanced 835 Electronic Remittance Advice (ERA) solution, fully integrated into the ClaimsPay^® platform. Combined with the company’s market-leading payments platform, this innovative solution streamlines remittance processes to healthcare providers, particularly benefiting workers’ compensation insurers, and extends its capabilities across all Property and Casualty (P&C) insurance segments.

The enhanced ERA functionality within ClaimsPay enables insurers to effortlessly generate and distribute standardized 835 remittance files directly to hundreds of thousands of providers' Revenue Cycle Management (RCM) systems. By providing detailed line-item data crucial for accurate claims payment reconciliation and matching the 835-remittance data directly with the corresponding payment, the solution significantly enhances payment accuracy, accelerates reconciliation, and reduces administrative workloads.

“Our goal is always to proactively solve insurers’ payment challenges,” said Ian Drysdale, CEO of One Inc. “By integrating comprehensive ERA capabilities within ClaimsPay, we empower workers' compensation and other P&C insurers to meet or exceed stringent regulatory demands while significantly boosting operational efficiency. This advanced remittance capability ensures the payment process is more precise, transparent, and beneficial for all stakeholders.”

Despite the clear advantages of standardized 835 ERA files, fewer than 20% of workers' compensation claims currently use them. Research from the Council for Affordable Quality Healthcare has found that the broader adoption of 835 ERA files could yield annual savings of up to $20 billion for the U.S. healthcare system, driven by fewer errors, faster processing times, and streamlined administrative tasks. For insurers, these efficiencies translate directly into improved productivity and reduced operational costs.

One Inc’s targeted solution directly addresses barriers to adoption by ensuring seamless compliance with state regulatory requirements. Fully integrated with insurers’ existing core systems, the solution automates the entire remittance process—from data generation through direct delivery to providers' RCM systems. Providers can select their preferred clearinghouse through One Inc's vendor portal, offering enhanced flexibility and control over their remittance process. Additionally, providers have ongoing access to comprehensive remittance data within the vendor portal, facilitating easy retrieval and improved transparency long after the initial transaction.

The new 835 Remittance Solution further strengthens One Inc’s leading feature set for workers' compensation and across all lines of P&C insurance. Trusted by 10 of the top 15 workers' compensation insurers, One Inc delivers unique capabilities through its unified payment insurance payment platform that helps carriers remain compliant with state mandates for both inbound and outbound payments.

About One Inc:

One Inc is modernizing the insurance industry for over 270 carriers through a unified and frictionless payment network. Specializing solely in insurance, One Inc enhances carrier operations by cutting costs, boosting security, and improving customer experience. Their all-inclusive digital payments platform offers diverse payment options, multi-channel communications, and swift claim settlements, even for complex cases. As a leading digital payments platform, One Inc handles billions in premiums and claims annually. Recently acknowledged by CNBC as one of the World’s Top Fintech Companies and consistently listed on the Inc. 5000 list of Fastest-Growing Companies over the past three years, One Inc stands as a leader in fintech innovation. For more details, please visit www.oneinc.com.

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