Emdeon

Claims Management

Emdeon's Claims Management solutions offer the expertise of an organization with nearly two decades of experience in the healthcare claims processing industry. Emdeon leads the industry in clearinghouse and eServices solutions for automated EDI workflow that decrease electronic claims receipt and pre-processing cost, reduce phone calls from providers and improves your auto-adjudication rate. Our secure transmission mechanisms and HIPAA translations and formats offer you the best and most reliable connectivity services available so that claims are processed correctly. Our nationwide electronic network reach allows us to connect to any system for all payer-to-provider HIPAA-mandated transactions.

Emdeon also offers a host of integrated imaging and data capture solutions that support a unified payment stream. We're the only provider of both industry-leading software automation and business process outsourcing solutions.

Want to increase your claims efficiency? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.

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Payer News: Emdeon Connection

The Emdeon Connection eNewsletter provides information to our government and commercial payer audience.

Emdeon Acquires EquiClaim to Expand its Payment Integrity Solutions Offering

We are excited to announce Emdeon has acquired EquiClaim, a leading provider of post-payment healthcare claims audit and recovery services for commercial and government payers, from MultiPlan.

Pre-Payment Fraud Detection and its Impact on the Bottom Line: A New Payment Integrity White Paper

The phrase, "An ounce of prevention is worth a pound of cure" aptly applies to a movement within the healthcare payment industry: Fraud, waste and abuse (FWA) prevention.

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  • The U.S. Healthcare Efficiency Index is a forum for raising awareness and monitoring business efficiency in healthcare.

    The U.S. Healthcare Efficiency Index is a forum for raising awareness and monitoring business efficiency in healthcare.

  • Emdeon distributes newsletters that supply providers and payers with healthcare news concerning current events or industry trends.

    Emdeon distributes newsletters that supply providers and payers with healthcare news concerning current events or industry trends.