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How one health plan reached over $1 million in administrative savings with upfront claims editing


Reworking inaccurate claims can involve hours of internal research, as well as a lot of back-and-forth communication with providers—all of which drives up administrative costs. It can still be a largely manual process with a huge cost, and a major source of provider frustration.

A regional health plan with over 5 million members wanted to improve its clean claim rate without increasing the burden on its provider network.

Download this case study to learn:

  • How upfront editing helps health plans and providers alike  
  • How premium editing drives administrative savings      
  • The savings results of the 3-year pilot


Availity Editing Services Case Study

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