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With the sheer volume of claims large health payers process, millions of dollars may be left on the table if improper claims slip through standard editing safeguards. One regional Blue Plan serving more than 4 million members discovered this firsthand—as improper claims were passing through its homegrown claim editing system, the plan was incurring significant financial leakage.
Read our Savings Spotlight and learn how this Blue Plan achieved:
- Increased prepay savings by avoiding improper claims payment
- Improved payment integrity and accuracy
- Reduced provider abrasion