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Data Sheets
Optimize Payment Accuracy with History-Based Editing

Optimize Payment Accuracy with History-Based Editing

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Platform Access Delivers a Transformative Approach to Payment Integrity
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GuidingCare® Business Rules Designer

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Integrated Secondary Editing Solution Now Available to HealthRules® Payer Clients

Advanced secondary editing from HealthEdge Source™ helps reduce inappropriate claims before they are paid.

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HealthRules Payer® is a modern and flexible core administrative processing system that can help health plans navigate the No Surprises Act and transparency requirements with ease and efficiency.

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HealthEdge Source: Medicare Reimbursement

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Source deliveries in-depth MI Medicaid content that includes state-specific fee schedules and payment policies across a wide range of facility and professional provider types.

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