Change Healthcare has beefed up its claim attachments solution, creating the first nationwide solution enabling providers to submit documents and data electronically to all payers in both the medical and workers’ compensation market segments.
Built on Change Healthcare’s Intelligent Healthcare Platform, the claim attachments solution lets providers submit documents or clinical data required for claim adjudication and reach any payer in the country –– all through a single workflow.
Change Healthcare estimates the increased provider efficiency, reduced errors and administrative improvements that will come about as a result of broader electronic claims use is over $200 million nationwide.
The new solution also applies artificial intelligence to automate medical documentation review for risk adjustment and payment integrity use cases. AI can read and process a record in 40 seconds, improving productivity by as much as 50% for certain clinical or coding reviews, the company claims. The claim attachments solution complements that capability by creating a simple electronic submission path directly into the Change Healthcare AI services.
“We’re tackling the next frontier of electronic transaction adoption in the healthcare industry,” said Mike Peresie, senior vice president and general manager, Medical Network at Change Healthcare. “By adopting our claims attachment solution, payers and providers can end their reliance on antiquated solutions, take paper out of the system, and participate in the next phase of industry maturation powered by artificial intelligence.”
The Change Healthcare Intelligent Healthcare Platform has one of the largest clinical and financial healthcare networks in the U.S., processing nearly 14 billion healthcare transactions and approximately $1 trillion in adjudicated claims, or approximately one-third of all U.S. healthcare expenditures.
