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ClaimsManager Overview

One of the most customizable rules engines in the industry

This rules-based, front-end clinical editing tool offers one of the most customizable rules engines in the industry. It features some of the most robust database editing functionality in the marketplace. And it can help you attain financial insights that contribute to better business decisions.

ClaimsManager can help you …

  • Realize significant ROI through intelligent automation
  • Reduce claim denials by pre-screening for billing and coding errors
  • Stay current with new and changing guidelines
  • Comply more easily with Medicare and commercial regulations

Why ClaimsManager?

Government and other payer rules are constantly changing. Providers who don’t adapt to these changes can lose significant amounts of revenue. ClaimsManager helps providers decrease lost revenue by improving claims accuracy, reducing denials, and shortening bill turnaround.

Use ClaimsManager to automatically update: 

  • LCD Part B edits
  • Annual CPT® and ICD-9-CM revisions
  • Quarterly Medicare Correct Coding Initiative

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Testimonial


“With Ingenix ClaimsManager, we have improved coding accuracy and decreased our denial rate. Wealso receive payments more quickly now than previously.”

— Brenda Gardner, Hattiesburg Clinic Coding and Reimbursement Manager

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Hattiesburg Clinic Reduces Denial Rates by 32%, Improves Productivity, Gains Nearly $200,000 in Net Download PDF.

Prevea Health Improves Productivity, Handles Increased Claims with Reduced Costs, and Gains $19 Mill Download PDF.

ClaimsManager Product sheet Download PDF.

Premium Transaction Suite Product Sheet Download PDF.