Claims solutions that power profitability
Increased cost pressures, regulatory uncertainty, and membership flux make it difficult to unlock the value of claims data. Abandon the spreadsheets and manage claims code sets, increasing first pass auto-adjudication rates and reducing inaccurate claims.
Wolters Kluwer helps health plans manage claims code sets using a combination of software, data and services, reducing the manual work required to update lists of codes used for reimbursing claims from your provider networks. Up-to-date codes ensures accurate data is being used across your claims operations using the latest updates from the standards bodies.