Achieve Success in Claims Editing
Health care affordability is top of mind for health plan leaders, with increasing pressure from government and consumers to bring down costs. Properly editing all claims is at the heart of ensuring accurate payments and avoiding overpaying for health care services.
Download this informative success toolkit to learn five key considerations your health plan should contemplate moving forward.
Video
Accelerating Specialty Rx Edits
Editing can be deployed to assist health plans in effectively managing the growing spend on specialty drugs.
Kelly Romsdahl, Senior Strategic Product Manager, Claims Edit System (CES) and Specialty Analytic Suite
2 minutes
Video
Accelerating Emergency Edits
What questions should health plan leaders ask about emergency department spending and how to set up related edits?
Dianne Rose, Senior Strategic Product Manager, Emergency Department
3 minutes
Video
Editing Solutions and Impacts
Which aspects do you have expertise and resources to manage internally and which should be outsourced?
Tanya Hendrickson, Strategic Product Director, Payer Software and Specialty Content
3 minutes