Health Plans and Payers

Veradigm Comprehensive Submissions

Consolidated End-to-End Visibility into Member Claims Data

The volume of data required for government programs today can be overwhelming. Veradigm Comprehensive Submissions (formerly Reconcili8 and Babel Health), eases those burdens with end-to-end submission and reconciliation processes that ensure regulatory compliance and mitigate revenue leakage. Veradigm Comprehensive Submissions enables complete and accurate tracking and status-monitoring of all encounters. You can manage the entire encounter lifecycle with impactful data visibility from claims intake, validation process, error correction, encounter generation, and response file processing.

Configurable workflows allow batch corrections, reviews and approvals, and re-submissions to enhance workforce efficiency. Intuitive Operational Dashboards into member claims data for complete and accurate tracking and status-monitoring on all encounters.

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Streamline Your Submissions & Reconciliation

Veradigm Comprehensive Submissions provides a single, comprehensive system for all lines of business and delivers end-to-end lifecycle visibility for this system. Veradigm Comprehensive Submissions performs effective upfront data validation and enrichment as well as service level agreement-prioritized exception management. Veradigm Comprehensive Submissions also delivers deep expertise in encounter business operations and mandates.

Key Features Making Veradigm Comprehensive Submissions the Most Flexible and Reliable Submissions Solution:

  • Consolidated encounter book of record for end-to-end visibility into member claims data and for complete and accurate tracking and status-monitoring of all encounters
  • Configurable workflows for batch corrections, reviews and approvals, and re-submissions to enhance workforce efficiency
  • Seamless EDI channel connectivity via integration with our industry-leading trading platform

The Centers for Medicare and Medicaid Services (CMS) and State out-of-the box modular approach provides flexibility to accommodate to your health plan’s customer business rules, while being versatile enough to support regulations, format changes, and workflows specific to various government programs, enabling continuous compliance.

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