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