MMIT’s ReimbursementCodes APIs Speed Claim Review and Reduce Overpayments
In this case study, learn how one plan saved at least $250K each year by moving to an automated, scalable claims review process. After implementing MMIT’s ReimbursementCodes Medical Drug Edits APIs, the team now has the bandwidth to review all potentially inaccurate claims—even those for smaller amounts.
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Mirror each step of manual claim review with custom-built application programming interfaces (APIs).
Automatically verify compliant claims while flagging miscoded claims for a reviewer to reconcile, pend or deny.
Validate that providers are compliant with the rules for generic substitutions, unit conversions, and drug wastage.