Fine-tune your claims with PCH Health
Navigating claims quickly and precisely can be daunting and often leads to costly repercussions for healthcare payers.
PCH Health offers a user-friendly claims editing tool designed to quickly identify and rectify errors before submission, saving time and resources for the parties involved.
Extensive smart edits database
In-app editing with over 119 million pre-submission SNIP-level edits, offering cleaner claims and a higher first-pass rate.
End-to-end claims processing
End-to-end solution to ingest, adjudicate, pay, and analyze healthcare claims, promoting accuracy and efficiency.
Cleaner claims with ACE
Optum Advanced Clinical Editing (“ACE”) for accurate and efficient claims processing and cleaning.
Prevent denials before submission
Automatic detection of "Certain to Deny" claims, improving first-pass billing accuracy by 24-31%.
Why PCH Health?
PCH Health facilitates streamlined, automated claim editing during adjudication, effectively reducing claim errors and denials.
Our high precision, AI-driven platform enables claims payment accuracy, greater regulatory compliance with editing standards and custom rules, and reduction in expenses and manual intervention.
PCH Health has processed 42M+ claim edits and adjudication to date, with a 20 - 25% overall increase in pass rate on claims.
Optimize your claims today!
Our delivery capabilities and performance benchmarks
PCH Health's claims editing tool allows real-time identification and rectification of errors, ensuring accuracy before submission.
35%
Reduction in administrative costs
25%
Reduction in denials and rejections
119M
Edit recommendations
20-25%
Overall increase in pass rate on claims
Why choose PCH Health as your best bet for claims processing?
- HITRUST-certified infrastructure
- HIPAA compliant organization
- Advanced algorithms that reduce the risk of claim denials
- Seamless integration with existing systems
- Customer-centric solutions
- Comprehensive audit trails
Awards and Certifications
