Data Sheet: Platform Access Delivers a Transformative Approach to Payment Integrity

Platform Access Delivers a Transformative Approach to Payment Integrity

Healthcare claims are becoming increasingly complex, putting significant pressure on payers to manage payment integrity programs effectively. Traditional methods involve stacking multiple editing solutions, each with its own schedule and data sets, resulting in inefficiencies and recurring inaccuracies. Additionally, primary and secondary editing vendors often protect their insights, charging contingency fees and creating data silos.

Introducing Source Platform Access

HealthEdge Source™ Platform Access revolutionizes the payment integrity landscape by providing payers with advanced technology and best-in-class content to accurately pay claims the first time. This approach eliminates administrative waste and addresses root causes of payment issues, offering substantial efficiency gains and cost reductions.

Key Benefits of Source Platform Access:

• Enhanced Operational Control: Less dependency on third-party vendors and greater visibility into proprietary data.
• Streamlined Workflows: Customizable business workflows tailored to specific needs.
• Increased Efficiency: Strategic intervention points within claims processing improve organizational value.

By coupling distinct platform capabilities with a consultative partnership, HealthEdge Source (Source) aims to empower payers to control their intellectual property, address root issues, and eliminate recurring waste.

The Source Advantage

With over 25 years of experience in payment accuracy strategy execution, Source supports 50% of the top 15 health plans for payment integrity. It offers over 200 ready-to-use edits and cloud-based updates on state and federal fee schedules and integrates all editing solutions into a single system.

To learn more, visit the Source Platform Access page on the HealthEdge website.