Data Sheet: Source Editing
Improving accuracy, transparency, and consistency drives extreme efficiencies
Source Editing Data Sheet
Many health plans rely on multiple claims editing systems, leading to complex, duplicative processes that are costly and inefficient. HealthEdge Source Payment Integrity Solution provides a comprehensive, cloud-based alternative that simplifies and enhances the payment workflow.
Your Source for Payment Integrity
With Source, health plans can:
- Reduce dependencies on third-party editing vendors
- Minimize technology stack and complexities
- Eliminate the need for manual upgrades and content updates
- Improve transparency for audits and improved provider relationships
- Customize edits to align with specific medical policies
The Source Difference
- Transparency: Full visibility into content performance.
- Data Control: Flexibility to implement and own your intellectual property.
- Time-to-Value: Rapid implementation of new concepts.
- Government Content: Comprehensive coverage across all provider types.
How It Works
HealthEdge Source™ Editing streamlines claims processing by integrating custom edits, third-party libraries, and advanced analytics into a cloud-based platform. It offers granular control over claim editing, automatic content updates, and comprehensive audit trails, enhancing accuracy, transparency, and efficiency in payment processes while reducing IT support needs.
Proven Results
Health plans using Source’s history-based editing report an average savings of 20% per impacted claim. The system ensures all edits are returned in the first pass, allowing quick remediation and improved business decisions.
