ClaimsXten’s Policy Management Module helps payers automate editing processes by enabling users to layer multiple policy rules into the processing framework early in the adjudication cycle.
“Payers are struggling to manage the pace and breadth of industry change, because their disconnected legacy systems aren’t up to the task,” said Amy Larsson, RN, vice president of clinical claims management for McKesson Health Solutions, in a statement. “Payers need to ensure accurate payment for a wide variety of relationships with their provider networks, and they want to pay providers quickly according to their policy.”
ClaimsXten’s PMM is available immediately.
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