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Detection Software |
| Ingenix Detection Software solutions help payers prevent inappropriate medical expense payouts and feature facility and professional claims editing capabilities, subrogation detection, and a table-driven knowledgebase of edit rules. |
Detection Software helps you:
- Prevent payment on erroneous claims
- Discover potentially fraudulent claims
- Recover overpayment losses
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Products:
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Claims Editing KnowledgeBase
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With clinically sourced and documented edit rationales for more than three million code-to-code relationships, the Ingenix Claims Editing KnowledgeBase improves efficiency and accuracy of claims processing. |
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Fraud and Abuse Detection
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We are established experts in detecting, preventing, and recovering overpayments due to fraud and abuse, incorrect coding, third party responsibility or liability, and simple errors. We have developed one of the most comprehensive set of solutions available. |
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Ingenix Professional Claims
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Ingenix Professional Claims (Ingenix Claim Editing System) is an open-architecture claims editing tool that offers full disclosure of rules-based edits. The browser-based application and database expands your claims transaction system's capabilities with valuable new utilities that reduce manual review and promote more consistently appropriate reimbursement with attendant cost savings. |
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Questions?
To discuss how we can help your organization, please contact us:
engage@ingenix.com or
(800) 765-6713 |
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