First-Pass Payment is Our Goal
Every day a claim sits in rejected or denied status is a day your practice isn't getting paid. HealthEdge Solutions utilizes a rigorous claim scrubbing process before a single claim is transmitted to the clearinghouse or payer.
Our Claim Scrubbing Engine
- Verification of patient demographic and insurance data
- CCI (Correct Coding Initiative) edit checks
- LCD/NCD medical necessity validation
- Payer-specific rule applications
Our commitment to clean claim submission means we consistently achieve first-pass resolution rates exceeding 95%, significantly reducing the time it takes for your practice to receive payment.
Improve Your First-Pass Rate
Stop dealing with rejected claims. Let us handle your claim submission for faster, more reliable cash flow.
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