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