features and benefits
Create customized auditing logic
More than an unbundling and editing tool, our Claims Edit System features flexible editing functions and complete customization capabilities, allowing you to create unique auditing logic to implement your proprietary business rules.
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 plans 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.