Automated Claim Cleansing Solutions

ClaimPRECISE^TM, our core platform for claim data capture, editing and cleansing, automates all aspects of pre-adjudication claims processing, enhancing claim data, so that payments are accurate and cycle time is faster.

Built on a highly scalable and flexible architecture, ClaimPRECISE supports healthcare's demanding business requirements, including efficiently handling processing peaks while ensuring compliance and driving overall adjudication improvement. A strength of the solution's single point of integration across client's business lines and even multiple client claim platforms is the ability to facilitate claim system conversion and integrate clients' business acquisitions. Secure claims custody and control reporting is standard.

ClaimPRECISE options apply varying levels of business rules, edits and matching logic to improve straight-through adjudication processing rates while reducing pended claims.