Payment Accuracy vs. Payment Integrity

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- Solutions
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  Solutions
  - For Payers
    Simplify complex processes and improve payer-provider collaboration.
    
    Back
    
    For Payers
    
    Payer Solutions Overview
    Simplify complex processes and improve payer-provider collaboration.
    
    Provider Engagement
    Streamline workflows and improve engagement.
    
    Provider Directories
    Maintain compliance by capturing provider updates at the source.
    
    Interoperability
    Transform data-sharing capabilities and reduce the cost of care.
    
    End-to-End Authorizations
    Ease prior authorization burdens with AI-driven solutions.
    
    Digital Correspondence
    Reduce print and postage costs and replace manual processes.
    
    Payment Accuracy
    Lower admin costs and prevent revenue leakage.
  - For Providers
    Streamline workflows, reduce denials, and ensure accurate payments.
    
    Back
    
    For Providers
    
    Provider Solutions Overview
    Streamline workflows, reduce denials, and ensure accurate payments.
    
    Revenue Cycle Management
    
    Eligibility & Coverage
    
    Authorizations
    
    Claim & Claim Status
    
    Denial Prevention & Management
  - For Vendors
    Seamlessly deliver complete and accurate healthcare information.
    
    Back
    
    For Vendors
    
    Vendor Solutions Overview
    Seamlessly deliver complete and accurate healthcare information.
    
    Healthcare Connectivity
    Facilitate seamless data exchange via X12, REST, and FHIR APIs.
- Products
  Back
  
  Products
  - Multi-Payer Portal
    Streamline provider workflows and improve collaboration.
  - Enhanced Payer Connectivity
    Reach more health plans while streamlining pre-service and billing.
  - Revenue Cycle Management
    Boost efficiency, prevent denials, expedite payments.
  - Clinical Data Transformation
    Enhance clinical data quality for optimized downstream workflows.
  - Intelligent Utilization Management
    Simplify the prior authorization review process.
  - EDI Clearinghouse
    Connect to health plans nationwide.
  - Intelligent Gateway
    Seamlessly connect and exchange administrative data.
  - API Marketplace
    REST and FHIR-based APIs for fast, secure connectivity.
  - Provider Lifecycle Solution
    Manage the provider lifecycle.
  - Payer-to-Payer Hub
    Streamline data exchange to meet mandatory compliance.
- Insights
  Back
  
  Insights
  - Case Studies
    See success stories from our customers.
  - Blog
    Get the latest industry insights.
- Resources
  Back
  
  Resources
  - Essentials Registration & Support
    Get help registering or using Essentials.
  - Training & Education
    Learn about our training courses.
  - Essentials Payer List
  - Essentials Pro Payer List
  - Supported Systems
  - Preferred Vendors
  - Network Status
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  About
- Connect
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  Connect
  - Contact Sales
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  - Customer Support
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  - Events
    Learn about upcoming industry events.
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