Submission+
EDPS data submission solution for Medicare Advantage Health Plans
Empower Medicare Advantage health plans to actualize fair compensation from CMS for the valuable services they provide, through highly accurate and timely EDPS claims data submission
Elevate your compliance and financial performance via our advanced EDPS Submission Platform
Achieve 100% Correct Submissiond
X12 claim data transformation for seamless data integration
Reduce Data Redundancy, Monitor Response in Real-Time
EDPS Data Reconciliation
Simplify complexities of EDPS to MAO-004/MMR reconciliations
Mitigate risks of RAF score loss due to improper submissions
Prepare for RADV audits with RAQ+ integration
Prepare Supplemental Submissions
Encounter creation from adjudicated claim files and other standard formats
Pre-built HIPAA and CMS- specific edits for high data accuracy
Compliance with CMS submission guidelines
Advanced Analytics
Advanced data analytics and reporting for granular insights into your claims data
Detailed encounter submission and HCC coding gap analysis
Dashboards and Smart Reports
- Year over year recapture rates
- Provider Gap analysis
- Predictive Suspect HCC Gap analysis
Enable Insights into Submissions
Advanced data analytics and claims reporting for granular insights into your data
Batch Validation and Tracking ensure transparency
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