iCES: Ingenix Claims Editing System

Ingenix Claims 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.

More than an unbundling and editing tool, Ingenix Claims Editing System enables you to fine-tune your operations for seamless claims processing with fast turnaround times and minimal administrative burden.

Overview

Features

A question of competitive position

Your streamlining of workflow and decision making processes, coupled with reduced administrative costs, can yield significant savings that strengthen your competitive position and help you comply with ever-changing prompt-pay legislation. In the dynamic business of health care, the many advantages of Ingenix Claims Editing System can help you keep pace with change, manage medical costs, improve workflow, and stay well ahead of the competition.

Increase your savings potential by:

Improving the appropriateness of claims payments—automatically
Slashing inconsistent manual review and reallocating your resources
Facilitating resolution of provider appeals by basing adjudication on contracted rates
Reducing costs with a browser-based interface system
Detecting overpayments before payment
Enjoying responsive customer support

Seamless claims processing

More than an unbundling and editing tool, Ingenix Claims Editing System enables you to fine-tune your operations for seamless claims processing with fast turnaround times and minimal administrative burden. Your streamlining of workflow and decision making processes, coupled with reduced administrative costs, can yield significant savings that strengthen your competitive position and help you comply with ever-changing prompt-pay legislation.