Accelerate Your Medical Claims Editing Process with 3X Accuracy

Master your claims process with flawless submissions, eliminating costly back-and-forth with providers

42M+

Claim edits and adjudication

1M+

Claim   
Processed   
Daily

24/7/365

support

30+

years of 
experience

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.

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Extensive smart edits database

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.

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End-to-end claims processing

End-to-end claims processing

End-to-end solution to ingest, adjudicate, pay, and analyze healthcare claims, promoting accuracy and efficiency.

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Cleaner claims with ACE

Cleaner claims with ACE

Optum Advanced Clinical Editing (“ACE”) for accurate and efficient claims processing and cleaning.

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Prevent denials before submission

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!

Why PCH Health?

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?

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

Major Player
NelsonHall
PEAK Matrix Medical
Peak Matrix Healthcare

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