Automated Claim Editing

Our automated editing product is the perfect solution for removing errors on higher volume, small dollar claims. Even though this product is automated, we still have coders reviewing to ensure accuracy and taking provider calls. We utilize advanced clinical editing technology to ensure that both institutional and professional claims are properly coded and compliant with applicable payer requirements.

• Cloud Based

• EDI, Desktop Apps, or Web Service Delivery

• Regular Rules and Logic Updates

• Customizable by Group, Provider, Individual Codes and Geography

• User Defined Rules

• Real-Time Reporting

• Flexible Pricing Structures Including Self-Pay Models