What it’s good to know:

– HealthEdge® and Codoxo announce a strategic partnership to supply healthcare payers with essentially the most superior options and companies within the trade.

– This partnership will streamline and enhance their respective end-to-end cost integrity processes by leveraging HealthEdge Supply™ together with Codoxo's GenAI-powered Unified Price Containment Platform. By becoming a member of forces to ship an end-to-end cost integrity answer, healthcare payers will profit from the chance to consolidate vendor options, enhance information integrity and speed up time to worth.

Driving Effectivity and Innovation in Healthcare: The HealthEdge-Codoxo Partnership

HealthEdge® and Codoxo are remodeling healthcare by a joint effort to ship market-leading cost integrity options. Their partnership goals to enhance transparency, accuracy and effectivity within the implementation of care plans whereas decreasing overhead prices and provider dependency. This initiative helps the broader purpose of constructing healthcare extra inexpensive, efficient and related for payers, suppliers and sufferers.

Built-in cost integrity options

HealthEdge Supply™, a number one cost integrity answer, affords:

– Superior contract modeling and configuration choices

– Improved declare pricing, modifying and proactive enterprise intelligence

– Seamless identification and backbone of continual cost errors

To enrich this, Codoxo's Unified Price Containment Platform integrates:

– AI and generative AI-powered supplier training

– Information mining, medical report critiques and fraud detection instruments

– Compliance with medical insurance policies and provider contracts

– In depth audit and case administration features

Collectively, these applied sciences present well being plans with larger financial savings and operational efficiencies by addressing cost inaccuracies early within the claims lifecycle.

Advantages of the HealthEdge-Codoxo partnership

HealthEdge and Codoxo are becoming a member of forces to handle key challenges dealing with well being plans, together with:

– Eliminating the necessity for a number of suppliers, decreasing administrative prices

– Bettering transparency in cost integrity, scientific and analysis processes

– Delivering extra exact and environment friendly cost accuracy options

Management in healthcare innovation

HealthEdge's complete ecosystem, together with options corresponding to HealthRules® Payer for core administration, GuidingCare® for care administration and Wellframe™ for member expertise, integrates seamlessly with Codoxo's superior AI-driven instruments. This collaboration strengthens their shared dedication to innovation, excellence and affordability in healthcare.

Acknowledged by main organizations corresponding to Gartner, KLAS and BlackBook, and celebrated as among the best and brightest firms to work for within the nation, HealthEdge continues to guide the digital transformation of healthcare. This partnership reinforces its dedication to fostering a cohesive ecosystem that connects all healthcare stakeholders – payers, suppliers and members.

“A forward-looking method to prepayment integrity reduces the necessity for expensive post-payment chargebacks, minimizes supplier hurt and improves the standard of our healthcare system,” mentioned Ryan Mooney, Government VP & Normal Supervisor of HealthEdge Supply. “Our strategic partnership with Codoxo aligns one HealthEdge-managed information supply, feeding two superior know-how platforms, to supply well being plans with the data they at all times wished to appropriate, additional upstream than beforehand attainable, earlier than the declare is paid. ”