Features

Automated, efficient routing between payers and PPOs for re-pricing Applies client-specific pre-adjudication business rules to all claims Offers provider ID and member ID matching Identifies and rejects duplicate claim submissions Automated, efficient routing between payers and PPOs for re-pricing

Benefits

Improves the efficiency of the payment cycle Reduces manual intervention during claim adjudication and re-pricing Lowers processing cost-per-claim Speeds claim payment settlement cycle Improves first-pass results