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Claim Adjudication & Reimbursement Management

Achieve a consistent and reliable claims review process with claim adjudication, compliance, and reimbursement products from Ingenix.

Solutions:


APC Coding Resources
Facilitate clean claim submission with Ingenix APC Coding Resources and save money on the administrative staff needed to reprocess denials, recoup valuable reimbursement dollars, or to avoid unnecessary write offs.
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Claim Adjudication, Compliance, and Reimbursement
Achieve a consistent and reliable claims review process with claim adjudication, compliance, and reimbursement products from Ingenix.
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Data Benchmarking and Pricing Solutions
This solution suite combines data from powerful databases of relative and actual charge data to help you develop your own reimbursement schedule for both in- and out-of-network claim payments.
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Payment Solutions
By using the established framework of the Prospective Payment System (PPS), health plans share the risk with their provider network, making each group is accountable for that portion of risk that they can effectively manage.
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Professional Solutions
Reward the providers delivering effective care while creating incentives for other providers to improve their care-delivery processes. Ingenix’s Professional Services staff can help you design and implement a program that is tailored to your needs.
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