Emdeon Healthpayers Protect

Don't pay claims you shouldn't. Emdeon Healthpayers Protect helps you improve your bottom line and avoid the "pay and chase" by stopping improper payments. Using existing payment management processes and continually updated data, Emdeon validates provider information and identifies invalid payments and clear-cut coding issues, all in real-time, and on your schedule. By providing a final review, Emdeon Healthpayers Protect helps you prevent unnecessary payments without losing track of your cash flow. Transparent, auditable solutions work to achieve payment integrity quickly and indisputably, without delaying valid provider reimbursements.

Features

• Identifies erroneous payments for deceased or sanctioned providers, as well as those whose medical licenses may not be valid. Also identifies known bad addresses
• Recognizes violations of standard/non-controversial coding issues and indisputably aberrant billing practices
• Leverages existing payment processes and "group rules" integration to hold or redirect payments for payment integrity review
• Validates provider data in real time
• Mines data from multiple databases, which are continually refreshed, for greater accuracy and fewer false positives

Benefits

• Helps you maintain or expand your profit margin by reducing improper payments
• Designed to avoid workflow disruptions and conserve valuable IT resources by capitalizing on existing payment management processes
• Helps preserve strong provider networks by avoiding delays for valid provider reimbursements
• Fewer false positives reduce wasted time and resources