Video: Source Editing

The increasing complexity of claims and evolving regulations have trapped payers in an endless cycle of chasing and reworking claims rather than paying them correctly the first time. HealthEdge Source™ Editing provides a superior solution, empowering health plans to harness best-of-breed content coupled with sophisticated technology for accurate, transparent, and comprehensive claims payments.

By positioning this accuracy upstream in the adjudication process, HealthEdge Source™ Editing diminishes the reliance on downstream payment integrity solutions. This innovative approach allows you to:

• 1. Automate Infrastructure: Benefit from the hands-off, automatic delivery of edit libraries and infrastructure updates every two weeks.
• 2. Handle Complex Policies: Utilize extensive edit libraries to manage complex policies automatically across all lines of business.
• 3. Configure with Ease: Leverage a user-driven interface for the easy configuration of payment policy edits, as well as medical and clinical edits.
• 4. Improve Transparency: Ensure improved transparency for audit purposes and provider relations.

Discover how HealthEdge Source™ Editing allows you to break the cycle of rework and pay claims right the first time.