Payment Accuracy Edge
by HealthEdge · Insurance core · Burlington, United States
Payment integrity
What Payment Accuracy Edge does
- Automated clinical validation
- Open, API-first integration
- Retrospective claims analysis
- Configurable payment rules
- Automatic content updates
- Recovery workflow automation
- Vendor & Provider reconciliation
- Leakage trend dashboards
What Payment Accuracy Edge is used for
- Prevent overpayments before claims are paid
- Recover payment leakage through retrospective claims analysis
- Track leakage trends and root causes
About HealthEdge
Core administrative processing and claims software for health plans, including payment integrity and care management.
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Also by HealthEdge
- HealthRules Edge: Cloud core claims administration for health plans
- Clinical Edge: Care management
- Provider Atlas Edge: Provider data management
- Enduring Edge: Software plus managed operations delivery model
More in this category: Insurance policy administration and claims software.
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