- Fraud, Waste and Abuse
Transform Unnecessary Costs Into Strategic Opportunities
- Emdeon Clinical Exchange for Payers Brochure
- The Case for Collaborative Care White Paper
- Interactive Care Management White Paper
- Emdeon Vision for Claim Management Brochure
- Emdeon Real-Time Brochure
- Emdeon Patient Responsibility Estimator® Brochure
- Emdeon Third-Party Liability Analysis Brochure
Solutions for Payers
Emdeon Payer Solutions is a proven provider of claims, payment and fraud and abuse management solutions that increase efficiencies through intelligent transaction services. Emdeon helps healthcare payers streamline processes and reduce administrative costs while lowering the overall cost of healthcare.
- Improves payment processing efficiencies and lowers administrative costs
- Transforms data into business intelligence for informed decision making to manage care delivery and business performance
- Streamlines the claims payment cycle resulting in measurable costs savings and improved provider relations
Want to improve payment processing efficiencies and lower administrative costs? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.Contact Us
Emdeon Member Eligibility Management offers a unique upstream approach for efficient management and utilization of member eligibility data that achieves downstream administrative and medical cost savings. Our suite of member information-driven solutions helps payers strengthen provider self-service, improve member care management, increase auto-adjudication rates, comply with government benefit reporting mandates and facilitate HIPAA and CORE compliance.
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 eServices solutions for automated EDI workflow that decrease electronic claims receipt and pre-processing costs; reduce phone calls from providers and improve your auto-adjudication rates.
Emdeon is the industry's leading provider of payment distribution services with the ability to deliver payments both electronically and on paper (print and mail). EOBs, ERAs, EFTs and document distribution—Emdeon's flexibility makes it the premier solution for healthcare payers and third-party administrators.
Through its recent acquisition of Healthcare Technology Management Services (HTMS), Emdeon now offers consulting services to help payers innovate, solve problems and optimize performance in an ever-changing healthcare environment. Acting as a strategic partner, Emdeon Consulting Services helps healthcare clients develop and implement technology solutions designed to ensure alignment with healthcare trends and each client's overall business strategy. With a particular focus on technology and operations, Emdeon empowers payers to achieve technology-enabled transformations.
Emdeon Clinical Exchange Solutions leverage Emdeon's existing electronic connections to provide total member population health engagement and care intervention strategies. Our industry-leading electronic healthcare information network, along with our printing services that distribute healthcare communications to millions of patients in the United States, enables Emdeon to offer services that increase the benefits of sharing health information before and after the patient encounter.
Emdeon Payment Integrity Services help you identify, process and accurately pay only valid healthcare claims efficiently, while reducing healthcare dollars lost to fraud, abuse and waste. Our flexible, innovative solutions easily integrate with your existing claims workflow and can be tailored to meet both immediate and future needs. Emdeon can help you be confident that when you pay a claim, it's a payment worth making.
Emdeon Prescription Benefit Solutions allow payers to in-source their prescription benefit program to obtain real transparency and improve their Medical Loss Ratio. Emdeon can tailor our services to provide as much assistance as your organization needs.