AI-Powered 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.
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
Mitigate risks of RAF score loss due to improper submissions and maximize reimbursements.
Data Transparency
Gain granular insights with advanced analytics, batch validation, and tracking for end-to-end visibility.
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.
How quickly can Submission+ be implemented?
It ensures regulatory adherence with built-in HIPAA and CMS-specific edits, reducing errors and audit risks.
Can Submission+ integrate with existing systems?
Yes, Submission+ seamlessly integrates with X12 claim data systems and other submission workflows.
What analytics does Submission+ offer?
Submission+ provides real-time tracking, batch validation, and predictive analytics to enhance decision-making.
How does Submission+ reduce financial risk?
By mitigating RAF score loss and ensuring accurate reconciliations, Submission+ helps maximize reimbursement potential.
Is Submission+ suitable for all Medicare Advantage plans?
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.
Simplifying Healthcare Operations
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Alpharetta, GA 30005
Contact Info:
(404) 952-3145 | (678) 338-1688
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