Healthcare Business Solutions Healthcare Payment Integrity Solutions Emergency Department Coding Accuracy Services Ensure costs correlate with level of care Connect with us Tap into an overlooked source of revenue Managing emergency department costs is often overlooked as a source of revenue for health plans. With costs skyrocketing and severity level coding on the rise, health plans must minimize emergency department billing inaccuracies and expedite time to payment. Our team of clinicians and innovative technology help maintain a .02% appeals rate, for faster resolutions throughout the member’s episode of care. *Source: Conduent Proprietary Data Among Payers Grow loyalty Lower the incidence of members receiving “surprise” emergency bills that exceed their expectations. Reduce abrasion Maintain positive provider relationships, backed by our team of clinicians who maintain a .02% appeals rate. Drive ROI Reduce costs and manage your MLR with preemptive steps that handle upcoding for ED claims. Stopping the emergency department payment hemorrhage Read the eBook Ensure accuracy and save more Our healthcare payment accuracy solutions seamlessly integrate with multiple data sources, analytics, technologies and a nationwide footprint to quickly recover the most funds possible for your company. Save more and pass it to your customers when you bundle solutions from Conduent. Coordination of Benefits Services Increase recoveries, quickly identify other insurance and easily update member records accessing CMS, NAIC and more. Learn more Credit Balance Services Recover significant funds faster with our dedicated team that validates credit balances and handles recoupment whether it’s onsite, digital or over the phone. Learn more Subrogation Services Protect your organization from erroneous medical and disability-related payments backed by our own in-house attorneys and recovery specialists. Learn more Pharmacy Audit Services Contain expenses and identify discrepancies with a secure portal that enables provider oversight for audit programs and stand-alone services. Learn more
Coordination of Benefits Services Increase recoveries, quickly identify other insurance and easily update member records accessing CMS, NAIC and more. Learn more
Credit Balance Services Recover significant funds faster with our dedicated team that validates credit balances and handles recoupment whether it’s onsite, digital or over the phone. Learn more
Subrogation Services Protect your organization from erroneous medical and disability-related payments backed by our own in-house attorneys and recovery specialists. Learn more
Pharmacy Audit Services Contain expenses and identify discrepancies with a secure portal that enables provider oversight for audit programs and stand-alone services. Learn more