ClaimDrop

Drop in the claim.
Connect the payment path.

ClaimDrop turns claim files into a reviewable, routable workflow. Upload a PDF or CSV, confirm the extracted details, and send the claim through the payment path configured for the employer group.

Built for this moment

Less re-entry between the file and the payer.

Employer-direct arrangements can follow different financial paths. ClaimDrop gives your team one intake process while keeping each group’s routing requirements in view.

01

Claim-file intake

Upload PDF or CSV claim files from your billing system or EMR export. ClaimDrop extracts details such as the employer group, amounts, service lines, and dates of service.

02

An editable review step

Check the pre-filled information before submitting. Your team can edit parsed fields and select the group manually when it is not automatically identified.

03

Two configured routing paths

For TPA-configured groups, route an 837 EDI claim to the TPA. For employer-direct groups, use the configured employer invoice and ACH payment workflow.

How it works

Four steps your billing team can follow.

The review step keeps staff in control of what is submitted and where it goes.

  1. Upload

    Add the PDF or CSV claim file from your existing workflow.

  2. Extract

    ClaimDrop reads the file and prepares the claim details for review.

  3. Confirm

    Verify the group and edit the extracted fields as needed.

  4. Route and track

    Submit through the group’s configured TPA or employer-direct payment path.

Putting it into practice

Configure the payment path once. Use it consistently.

HealthMe works with the practice and benefits partners to establish how each employer group’s claims should be handled. That setup connects claim intake with the appropriate payer, file requirements, and payment cadence.

What comes together

  • PDF and CSV files from existing billing workflows
  • Editable extracted fields before submission
  • 837 EDI routing for TPA-configured groups
  • Employer invoices and ACH for direct payment arrangements

A few more details

Your questions, answered.

Can we correct information before a claim is sent?

Yes. ClaimDrop presents the extracted fields for review and editing. Staff confirm the details and group before routing the claim.

Does every group use the same payment method?

No. The route is configured by group. A group may use a TPA workflow with an 837 EDI claim or an employer-direct invoice and ACH payment process.

Does uploading a claim guarantee immediate payment?

Payment follows the group’s agreement, configured process, and payment cadence. ClaimDrop supports intake, review, and routing so the claim can enter that process.

A better way forward

Give every claim a clear next step.

Walk through your employer groups and claim routing needs with us.

Request a ClaimDrop demo