AI-Native EDPS
Data Submission Solution
Empowering Medicare Advantage Plans to actualize fair compensation from CMS for the services they provide, through accurate and timely EDPS submissions.
BENEFITS
Submission,
Perfected.
Ensure seamless, compliant, and optimized claim submissions from start to finish.
Achieve 100% Correct Submission​
Ensure seamless X12 claim data transformation while reducing redundancy and monitoring responses in real time.
Enhanced Compliance​
Stay ahead with pre-built HIPAA and CMS-specific edits to meet regulatory requirements effortlessly.
Optimized Financial Outcomes​
Data Transparency
Gain granular insights with advanced analytics, batch validation, and tracking for end-to-end visibility.
Key features
Advanced EDPS Submission Platform
Smarter EDPS
Data Reconciliation
- Simplify EDPS to MAO-004/MMR reconciliations.
- Prepare for RADV audits with RAQ+ integration built for accuracy.
Effortless
Supplement Submissions
- Quickly convert adjudicated claim files and other formats into CMS-compliant encounters.
- Ensure data accuracy with pre-built HIPAA and CMS-specific edits.
Advanced Analytics
- Track Year-Over-Year recapture rates effortlessly.
- Analyze provider gaps and predictive suspect HCC gaps for smarter decision-making.
Question & Answers​
Frequently Asked Questions
Explore this section to learn more about our products.
It ensures regulatory adherence with built-in HIPAA and CMS-specific edits, reducing errors and audit risks.
Yes, Submission+ seamlessly integrates with X12 claim data systems and other submission workflows.
Submission+ provides real-time tracking, batch validation, and predictive analytics to enhance decision-making.
By mitigating RAF score loss and ensuring accurate reconciliations, Submission+ helps maximize reimbursement potential.
Yes, it is designed for health plans of all sizes that require accurate and compliant EDPS submissions.
Ready to Transform Your EDPS Submission Process?
Take control of your EDPS submissions with a solution designed for accuracy, compliance, and financial performance.
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