Systems and methods for generating edits for healthcare transactions to address billing discrepancies
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United States of America Patent
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Mar 25, 2014
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app pub date -
Mar 25, 2010
filing date -
Mar 25, 2010
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Abstract
Systems and methods are provided for generating edits for healthcare transactions to address billing discrepancies. Information associated with an audit performed on a healthcare transaction may be received. Based at least in part on the received information, a billing discrepancy associated with the healthcare transaction may be identified. Based upon the identified billing discrepancy, a proposed edit may be generated that can be utilized to mitigate an impact of the identified billing discrepancy during the processing of one or more subsequent healthcare transactions.
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