With constant changes in billing codes and rules, a Large Southeast Health Plan with over 4 million lives needed a more efficient way to manage their claims process.

This payer was dealing with 30-40% of its incoming claims marked with a pricing inquiry or set up to require manual pricing.

Partnering with Burgess, a HealthEdge Company, this health plan eliminated redundant tasks, staff frustration and saved time.

Burgess Source®, a disruptive, cloud-based solution designed to manage both claims pricing and editing in one place using the latest regulatory data, streamlined the claims management process.

Download the case study to learn how a unified approach to payment operations enabled this payer to increase efficiency and achieve significant savings.





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