Case Study: a large southeast payer company achieves one-pass claims pricing and editing savings with HealthEdge Source

Accurate One Pass Pricing and Editing Solution Leads to Cost and Time Savings

a large southeast payer was struggling with an inefficient claims process where 30-40% of claims required manual pricing or rekeying, which was a significant drain on time and resources. They partnered with HealthEdge, using their Source Payment Accountability platform, to find a more efficient solution.

HealthEdge implemented its Source platform, a cloud-based solution for one-pass pricing and editing. The results included annual savings in the six-figure range, a 40% reduction in claims needing to be re-keyed, the elimination of manual processes, and 25% time savings over their previous methods.