Video: Source Platform Access
Payment integrity plays a vital role in ensuring that healthcare claims are processed accurately and efficiently. It focuses on verifying claim accuracy, detecting fraud, and guaranteeing proper reimbursements. However, challenges like misapplied clinical or payment policies, errors in contract configurations, and incorrect reimbursements can create persistent issues. These recurring problems can lead to significant, ongoing costs for payers, impacting them quarter after quarter, year after year.
At HealthEdge, we're not just offering another payment integrity solution. We're offering a solution to payment integrity.
With HealthEdge Source™ Platform Access, you can see the problems that need to be solved through real-time insights, embeded analytics, and a unified view of your processes and recovery. We deliver a tool to fix problems where they start, couple with extensive edit libraries and the ability to create and maintain your own edits.
Key benefits for health plans:
- Centralizes data management, making it easier to access and analyze information
- Identifies and resolves underlying problems to prevent recurring payment issues
- Reduces dependency on external vendors by proactively addressing issues
Pay claims right the first time with HealthEdge Source Platform Access. By addressing payment integrity challenges at their root, our solution empowers health plans to eliminate recurring issues, reduce costs, and improve efficiency. With real-time insights, embedded analytics, and customizable tools, you gain full control over your claims process, ensuring accuracy and minimizing reliance on external vendors. Transform payment integrity into a seamless, proactive process that drives better outcomes for your organization.
