Brochure: Prospective Payment Integrity

The Source Payment Integrity platform revolutionizes the healthcare payment integrity landscape with its innovative, cloud-based, interoperable solution. Designed to provide comprehensive pricing and editing content libraries, Source enables healthcare payers to address root-cause issues with unparalleled transparency, efficiency, and control. This unique solution ensures claims are paid accurately and swiftly, reducing waste, confusion, and unnecessary costs.

Reimbursement Transformation

Source significantly reduces the need for downstream payment integrity solutions by offering a hands-off, automatic delivery of policy and infrastructure updates every two weeks. The platform caters to Medicare, Medicaid, and commercial reimbursements by providing detailed, state-specific fee schedules and payment policies, improving time to value, and enhancing transparency for audit and provider relations.

Payment Integrity Transformation

Our system is designed to effortlessly pay claims accurately, quickly, and comprehensively the first time, removing waste, confusion, and inefficiencies. Furthermore, we take a hands-off approach—we take care of policy and infrastructure updates, freeing you from the burden of internal IT efforts. Experience massive efficiency gains, reduced costs, and improved transparency for audit and provider relations. With our transformative approach, healthcare payers can streamline their operations, enhance customer relations, and ultimately achieve long-term business goals.

Enterprise Transformation

Enterprise transformation provides a comprehensive, all-in-one solution for modernizing your claims processing ecosystem. It nurtures long-term business growth by creating a continuous cycle for improvement while increasing your ownership and control over operations - shifting from a black box approach to an open book. By eliminating siloed processes and departments, enterprise transformation also promotes alignment across your organization. Lastly, it provides a platform for interoperability, incorporating third-party data into a cohesive workflow and extending to other payment integrity solutions.

Achieve Long-Term Business Goals

Source Payment Integrity helps healthcare organizations achieve long-term transformation goals by modernizing claims processing ecosystems, improving provider relationships, and enabling enterprise-wide alignment. The platform's innovative approach ensures accurate, transparent, and comprehensive claims payments, driving efficiency and competitive advantage.