Payment Accuracy Edge: Platform Access
Payment Accuracy Edge (formerly HealthEdge Source™) gives health plans more transparency and control with a complete editing library, custom edit creation, and embedded analytics in one platform.
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Key Capabilities
Payment Integrity Libraries
Access a complete library of claim edits, plus the ability to build custom edits on top.
- Validation
- Billing & Coding Guidelines
- Clinical
- Cost Containment
- Medicare/Medicaid
Source Insights
See the full picture on pricing, testing what-if scenarios, comparing performance to benchmarks and keeping an audit-ready claims history.
- Production Impacts
- Monitor Mode
- Batch/Benchmarking
- Modeling
- HealthEdge Datasmart
Platform Configuration & Workflow
Decide the order in which pricing rules should apply, then keep billing codes, fee schedules, message formats and exceptions organized in one place.
- Custom Edit Creation
- Rules Engine
- Data Warehouse
- Configuration
Payment Accuracy Edge Solution Suite
Payment Accuracy Edge Enterprise Transformation
Accurate Payments in Real-Time. Ensuring accurate payments for continuous cost containment through transformative payment integrity solutions.
Payment Accuracy Edge Reimbursement Transformation
Unites Medicare, Medicaid and commercial pricing with editing in one configurable engine, giving health plans the power to model, monitor and correct payment impact, not just calculate it.
Delivery Services
Expert contract configuration, maintenance, and data studies that extend your team.
Transparency and Control Over Payments
Payment Accuracy Edge gives health plans full visibility and control over payment editing.