Skip to main content

Claims Editing Services

Optum Claims Edit System uses historical data to maximize auditing capabilities for government, commercial, Medicaid and Medicare claims.


Create customized auditing logic

More than an unbundling and editing tool, our Claims Edit System features flexible editing functions and complete customization capabilities. This allows you to create auditing logic to implement your unique business or government processes.

Automatically review claims for accuracy

Our Claims Edit System provides automatic claims review to catch errors, omissions and questionable coding by testing data against an expansive database containing millions of government and industry rules, regulations and policies governing health care claims.

Resolve resource and timeliness issues

As a critical prepayment application and key contributor to payment integrity, health care organizations must manage their claims editing updates to stay current. Our Claims Edit System offers you access to experts who can help you resolve resource and timeliness issues.