(formerly Emdeon Medicaid Subrogation)
Leveraging the industry’s most comprehensive payer connectivity and a history of partnering with government payers, Emdeon Third-Party Liability Analysis seamlessly manages the process of mapping Medicaid claim data to commercial payers’ eligibility rosters. By identifying commercial payers with primary COB responsibility, Emdeon Third-Party Liability Analysis helps Medicaid recover overpaid claim dollars and limit future overpayments.
With the most connections to government and commercial payers in the industry, Emdeon is expertly poised with existing infrastructure to streamline the process of information exchange and interpretation. Emdeon Third-Party Liability Analysis helps Medicaid plans recover revenue and overcome associated challenges, as well as helps commercial payers comply with DHHS legislation.
Features
- Smart Search™ technology across multiple payers’ eligibility data
- Industry’s most comprehensive connectivity to commercial and government payers
- Flexible programming overcomes payers’ unique systems and file formats
- Online access and file monitoring
- Customized reporting capability
- 24/7/365 processing
- Available connectivity to major information providers for data validation
Benefits
- Maximized revenue recovery through determination of primary carrier
- Identification of TPL helps reduce future overpayments
- Streamlined processes and efficiencies managed by Emdeon
- Achieves commercial payer buy-in and assists in their legislative compliance
