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Disclosing Claims Payment Rationale
McKesson code audit disclosure solution, Clear Claim Connection™ is a Web-based ASP offering that enables payors to disclose claims payment policies, rules and edit rationale to their physician networks.
Physicians can access any of this information via payors' Web sites, increasing transparency and helping payors educate their physician communities on conceivably complex medical payment policies.
Delivering Wide-Ranging Benefits
- Provides rationale for each edit
- Improves physician education
- Reduces administrative costs
- Increases first-pass adjudication ratio
- Reduces the effort and the cost associated with managing manual inquiries and appeals
- Increases productivity due to the automation of front-end claims adjudication and back-end customer service processes
- Gives payors' staffs and physicians 24x7 access to claims information
Customizing for Specific Needs
Clear Claim Connection supports unique edits, allowing payors to synchronize their individual medical policies with Clear Claim Connection's generic knowledge base. Enhanced reporting features enable payors to monitor system access with flexible reports.
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