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Payment Policy Management solution

Avoid payment errors before claims get paid

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Payment Policy Management enables payers to make informed, data-driven, clinically centered decisions on payment policy, ensuring compliance and helping to avert or recover incorrect payments to improve their payment integrity. We leverage a robust coding and medical policy content library, giving payers access to the most current research on payment policies in the industry. And our comprehensive policy recommendations apply across all provider settings and lines of business.

  • Avoid payment errors before claims get paid
  • Validate accuracy
  • Identify and address claim discrepancies
  • Alleviate the burden of payment policy management