Emdeon has built one of the most complete suites of payment integrity services by acquiring three market leaders – The Sentinel Group, TC³ Health and EquiClaim – and integrating them with Emdeon’s market leadinghealthcare network, data and analytics. The Sentinel Group’s fraud, waste and abuse technology and investigation expertise, paired with TC³’srecognized leadership in integrated fraud, waste and abuse and cost management services, along with EquiClaim’s comprehensive portfolio of audit and recovery services, makes Emdeon the one partner you need to help protect you from improper claims payments.Gain an edge against overpayments with one of the most complete claims cost management solutions available today. Protect your profit margin from fraud, waste, abuse and other improper claims that can eat away at your bottom line. Achieve the payment integrity your business needs – how youwant it, when you want it. With Emdeon EDGE,™ when you pay a claim, you can trust it is a claim worth paying.
Emdeon EDGE helps you:
- Avoid lost profits from paying invalid claims by detecting, investigating and preventing payment of those claims
- Reduce administrative time and cost by processing and accurately paying valid claims quickly and easily
- Capture new savings with insights into emerging schemes that single payer data typically cannot predict by leveraging exclusive multi-payer data and proprietary analytics tools
- Find lost dollars by auditing and recovering improper payments
- Maintain a strong provider network with clear and engaged provider communication