Efficiency. Accuracy. T ransparency. These are the things payment integrity dreams are made of. T o ensure provider claims are processed effectively and paid correctly, payers have traditionally applied multiple vendor solutions to different aspects of claim management and reimbursement, surrounding the problem with primary, secondary, and even tertiary editors; multiple different content repositories; and even “tribal knowledge” from team members who’ve learned and stored information in their heads after doing the same thing for years. This best-of-breed-approach, while well-intentioned, continues to further complicate the web of payers’ IT environments, placing additional strains on resources as they struggle to manage and maintain separate systems. It also introduces the potentia

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