EDITS+ Insurance
Insurance information provides important data that can be used to drive the application of rules and also the analysis of data. EDITS+ Rules target important payer requirements. These Rules are activated by key insurance information.
Once data is captured in the database, there are also many useful reports available about insurance. Use the reporting capabilities to learn if there is a difference in acuity levels, or in utilization, based on payer.
EDITS+ insurance information supplies the data needed for payer related Rules. Important Rules, such as screening Medicare visits to ensure that disallowed Medicare procedures are not used during coding, or verifying that the Medicare policy number is formatted correctly, help create clean claims at the beginning of the reimbursement cycle. This results in fewer claim rejections and faster payment times.
Insurance information includes:
- Primary, secondary, tertiary insurance
- Subscriber information
- Policy information
Insurance companies can be selected through an easy to use search function.
EDITS+ reports provide many ways to determine data differences by payer.
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