Case Study: SummaCare - Value of editing & pricing in Source

The case study highlights the value of pricing & editing using Source, a comprehensive platform that has streamlined vendor solutions for Medicare Advantage employer groups and commercial claims.

Since SummaCare teamed up with Source in 2009, they have been able to simplify the complex process of pricing Medicare across different states. Source provided a unified solution to these complexities, ensuring accurate and streamlined pricing mechanisms. Over the past year, transitioning to the latest version of Source has eliminated redundancy, allowing all claims—both Medicare Advantage and commercial—to be processed through a single, reliable platform.

Key benefits of using Source include:

• Unified Pricing and Editing: Source has consolidated all pricing and editing functions into a One-Stop Shop, significantly reducing the need for multiple editors and disparate systems.
• Vendor Management Efficiency: Source simplifies managing vendor upgrades and issue investigations, providing a centralized hub for all activities.
• Scalability and Flexibility: By removing pricing from the claims system and integrating it within Source, the organization can easily adapt to different claim systems and future platform changes.

This transition to Source underscores a commitment to innovation, efficiency, and precision in handling complex healthcare pricing and editing tasks. The platform's ability to plug and play with any claim system highlights its flexibility and forward-thinking design, making it an indispensable tool for modern healthcare organizations.