Claims processing interoperable
Change Healthcare announced its ClaimsXten™ and ClaimsXten™ Select are now interoperable with Pegasystems Claims Processing.
This will allow payers to “gain timely, consistent, and more accurate reimbursement of claims through ClaimsXten's clinically sourced content and claims auditing capabilities,” the company said.
“We continue to invest in interoperability strategies that make it easier for health plans to connect disparate systems to streamline processes, automate accurate payment, and reduce costs,” said Amy Larsson, vice president, Clinical Claims Management, Change Healthcare. “This integration gives Pegasystems' customers a seamless growth path for taming the complexity of medical and regulatory policy management as well as scaling mixed payment models to improve operational levels.”
ClaimsXten is geared to large health plans, while ClaimsXten Select adapts essentials for small to midsize health plans. Pega's applications are available in the cloud or on-premises and are built on its unified Pega® 7 platform.