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HealthEdge Source™ Webinar: Advanced Editing - Build Custom Edits & Take Control of Business Rules

HealthEdge Source™ (Source) recently hosted a training webinar focusing on the latest enhancements to the Custom Edit tool. The session, titled "Advanced Editing: Build Custom Edits & Take Control of Business Rules," was led by Carl Anderson, Director of Product Management. In the webinar, Carl demonstrated how to create powerful editing rules that can identify discrepancies in both current and historical claim data. 

Using Advanced Custom Edits (ACE), users can develop customizable edits and make informed adjudication decisions by analyzing historical claims for comprehensive evaluations.

Key benefits of Advanced Custom Edits include:

  • Accessibility for end users without requiring IT or Source development efforts
  • Creation of production-level edits directly within the UI using point-and-click functionality
  • Flexibility to establish proprietary medical policies with custom claim conditions
  • Application of cross-claim medical policies by examining claim history
  • Immediate application to production once configured
  • Prevention of recurring overpayments by addressing issues before payment
  • Reduced dependence on external partners for intellectual property (IP) execution, maintenance, and accuracy

Carl also demonstrates how to create, manage, and apply advanced custom edits that evaluate member claim history within the Source's user interface. If you're interested in learning more, explore our resources on Advanced Custom Edits for further insights into its benefits and usability.