Claims Pricing Solutions

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With provider contracts, claim data, federal and state regulatory requirements, industry trends, and business policies

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all contributing to the pricing process, it can be a challenge to coordinate respective payment system pricing accuracy and timeliness.

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Optum EASYGroup

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is an integrated claim pricing engine that simplifies the pricing process.

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We use automation to accurately edit,

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group,

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and price claims

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across Medicare, Medicaid, and commercial lines of business.

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And we integrate with all claim adjudication platforms.

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EASYGroup incorporates state and federal regulations, your provider contracting strategy, common industry trends, and facility specific reimbursement rules,

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to provide accurate and consistent claim pricing the first time.

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Frequent, automated updates

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will keep you compliant

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with current regulations and our experts ensure successful installation, implementation, configuration, and testing,

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whether you deploy on-site or in the cloud.

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Learn how we can help you increase claim pricing accuracy and auto-adjudication rates,

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with Optum EASYGroup.  

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