MMIT’s ReimbursementCodes APIs Speed Claim Review and Reduce Overpayments

MMIT’s ReimbursementCodes APIs transform the claims review process by automating compliance checks and reducing costly overpayments. In this case study, one health plan saved more than $250K annually by replacing manual review with a scalable, automated approach. The ReimbursementCodes Medical Drug Edits APIs mirror each step of manual claim review, verifying compliant claims while flagging inaccuracies for further review. By validating generic substitutions, unit conversions, and drug wastage rules, plans can improve reimbursement accuracy, minimize errors, and increase efficiency. With these APIs, payers gain the bandwidth to review all claims—even smaller ones—ensuring greater oversight, compliance, and cost savings.