section-f1c8665
Editing
Edit the data to identify errors and return a series of edit flags.
Pricing
Several available options to price the claims.
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At this time, the following editors are supported. However, if you have specific needs and require editors/pricers that are not supported at this time, please feel free to contact us for expedited implementation of those modules.
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Editors to process outpatient medical claims These editors support claim processing for all outpatient institutional providers including hospital that are subject to Outpatient Prospective Payment Systems (OPPS) as well as hospitals that are not subject to OPPS (Non-OPPS.) The edits are similar to edits used by CMS to process claims.