Accurate One Pass Pricing and Editing Solution Leads to Cost and Time Savings
Accurate One Pass Pricing and Editing Solution Leads to Cost and Time Savings
2 Pages1 | HealthEdge® // Large Southeast Payer Learn more about HealthEdge | Follow HealthEdge on Twitter or LinkedIn. Accurate One Pass Pricing and Editing Solution Leads to Cost and Time Savings Source: Case Study Challenge According to the Kaiser Family Foundation, major medical insurers receive hundreds of millions of claims each year. With constant changes in billing codes and rules, a Large Southeast Health Plan needed a more efficient way to manage their claims process. This payer was dealing with 30-40% of its incoming claims marked with a pricing inquiry or set up to require manual pricing. Claims often needed to be rekeyed —and with some claims having over 100 lines each, this became an arduous task taking up valuable time. The Director of Policy & Editing needed a solution that e
