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HealthEdge Source™ : Avoiding Payment Integrity Pitfalls

The traditional approach to payment integrity stacks multiple claims editors and incentivizes catching errors later in the claims payment workflow, effectively trapping payers in a cycle of continuously paying out to vendors without addressing root-cause issues.

Join Jared Lorinsky, chief strategy officer, and Carl Anderson, senior product manager, for this webinar where we will discuss the challenges associated with the traditional approach to payment integrity and offer insights into an “open-book” model where a combination of content, technology, functionality, and analytics can help health plans achieve long-term goals.

In this session, you will learn how:

  • Traditional payment integrity models lead to waste
  • A black-box approach increases friction and provider abrasion
  • An open-book approach leads to issue resolution and higher first-pass payment accuracy
  • Content coupled with technology can transform payment integrity