Features and Benefits
Process claims easily with quick turnaround
More than an unbundling and editing tool, professional claims editing drives seamless claims processing, with quick turnaround and minimal administrative burden. Streamline workflow and decision-making processes, reduce administrative costs and improve savings.
Increase organization savings potential
Optum® works with you to reduce inconsistent manual review so you can reallocate resources to other priorities. We also help to reduce costs with a browser-based interface system that can help detect overpayments and improve the appropriateness of payments.
Facilitate resolution of provider appeals
We can also help facilitate resolution of provider appeals by basing adjudication on contracted rates. The Optum system easily interfaces with core adjudication systems, including Cognizant, HealthEdge, ika Systems, Epic, GE, Eldorado and DST Amisys.
Claims Edit System® for Professional Claims
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