Service Areas See All
Clinical Claim Review Services
Value Proposition
Healthcare Claim Cost Management
EquiClaim, an Emdeon company, helps customers:
- Improve billing and payment integrity - by ensuring billed claims comply with contractual obligations, reimbursement rates and policies.
- Reduce general and administrative costs - by improving the accuracy of the claims payment process
- Produce incremental savings and address billing and payment accuracy by applying services such as DRG validation, hospital bill audit, policy compliance review, high-cost injectibles review, clinical rules editing and anesthesia claim review
- Increase efficiencies, which allows payers to reallocate valuable resources to their core missions
- Continuously evaluate new and innovative concepts that can help clients address medical costs
- Consider new and different ways of improving the healthcare payment process