Health plans are facing unprecedented challenges in accurately pricing claims due to a growing number of value-based payments and government regulatory requirements. As providers’ expectations for more efficient and accurate payments continue to rise, health plan leaders are turning to modern technology for help. In the past, health plans used a traditional approach to solving […]
Amid a rapidly evolving healthcare industry, the integrity and efficiency of Provider Data Management (PDM) systems are key to achieving operational excellence. HealthEdge® is at the forefront of solution development, offering a comprehensive Provider Data Management solution that exceeds current market demands. We designed this PDM solution to optimize business operations by ensuring the integrity […]
We’re obsessed with getting claims paid correctly the first time, which is why we’ve taken our Retroactive Change Manager and made it even better. Now, in addition to tracking regulatory updates, Retroactive Change Manager can track configuration-based changes so that your teams can spend less time finding, chasing and collecting what’s already gone out the […]