Note: We recommend watching the Introduction to HealthRules Payor demo before any of the others in this series.
Claims often require reprocessing for a variety of reasons: to reconcile changes to provider or supplier contracts, remedy payments to incorrect or ineligible providers or vendors, or repricing to adjusting copayments and/or provider over/underpayments, to name a few. This video highlights the highly flexible and comprehensive automated reprocessing capabilities inherent within HealthRules Payor. Using the example of reprocessing claims associated with a change to a provider contract, the video demonstrates how reprocessing automatically ripples throughout the system in real-time.
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