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Add Claims Edit System technology to your payment integrity portfolio today.

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Extend your editing capabilities

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Fact sheet

Professional claims

Gain a wide set of core rules that use historical data to enhance your auditing capabilities for commercial, Medicaid and Medicare claims.

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Facility claims

Review and catch errors, omissions and questionable coding relationships automatically for commercial, Medicaid and Medicare claims.

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NCD/LCD

Add Medicare editing specific to National Coverage Determinations (NCD) and Local Coverage Determinations (LCD).

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National and state Medicaid

Deliver Medicaid-specific editing to help maximize your claims accuracy, as well as administrative and clinical information workflows.

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Specialty Rx

Implement specific edits for specialty medications.

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Emergency department

Manage emergent spend with editing content for outpatient emergency department facility and professional claims.