Claims Editing Solution Overview
Correcting errors or inaccuracies in submitted claims can be a costly and time-consuming process for both healthcare providers and insurance companies. That’s why Exela’s PCH Global platform features a powerful, user-friendly claims editing tool designed to help identify and correct errors before the claim is even submitted.
Reduction in Administrative Costs
Reduction in Denials and Rejections
20 - 25%
Overall Increase Pass-Rate on Claims
Claim Edits and Adjudication
Extensive Smart Edits Database
Exela’s PCH platform enables comprehensive in-app editing with a library of over 119 million pre-submission SNIP-level edits for more clean claims and a better first-pass rate.
Part of an end-to-end Claims Processing Solution
Exela offers a comprehensive suite of solutions including everything you need to ingest, adjudicate, pay, and analyze healthcare claims for a seamless and streamlined experience that ensures accuracy and compound efficiencies while maintaining compliance with government and commercial regulations.
Cleaner Claims With The Help of Ace
Optum Advanced Clinical Editing (“ACE”) brings unmatched nuance, accuracy, and efficiency to your claims processing and cleaning function.
Prevent Denials Before They’re Even Submitted
We proactively reduce the number of denied claims by automatically identifying “Certain to Deny” claims, increasing first-pass billing accuracy rates by an average of 24-31%.