Coding Guidelines & Updates
The One & Only Payment Integrity Platform anyone Will Ever Need.
CoverSelf’s healthcare-specific, next-gen, cloud-native, and customizable claims accuracy platform is built from the ground up using modern software development techniques. It empowers user's long-term success by smoothly adapting to ever-evolving, dynamic claims and payment inaccuracies, reducing complexities and administrative costs.
Payer
CoverSelf’s Payment Integrity Platform engages modern technologies to address payment leakage & inaccuracies while remaining transparent & accessible to Payers.
Partner
This platform provides open access to all Partners working to address claims inaccuracies, administrative waste & inefficiency, enabling them to build, customize, innovate & release at a faster pace.
Who can use our product
Payer
Provider-owned health plans
TPA
ASO
MSO
Payment Integrity Partners
“We’ve done it, so you don’t have to”
Payment Integrity platform
Healthcare & Domain
Specific Platform
A purpose-built, fully- customizable platform with industry pre-configured code sets & reimbursement payment policies/scenarios with auto-updates, built for payment integrity.
Simplifies Ideation and Customization
Helps create new scenarios & data mining algorithms, innovating products, and expediting customization through this purpose-built platform and increases speed to innovation.
Comprehensive Platform
Integrated Rules Library Management System with Workflow, Audit & Exception Management
Payer-Specific Claims Auto-Correction
Claims are corrected and processed automatically - ensuring that there’s no additional human intervention or effort required. Configuration errors, if any, are identified quickly to streamline workflow processes.
Invites Flexible Innovation
An intuitive, easy-to-write rules scripting language that empowers all Domain Users with more control, removing technical dependency and increasing speed.
Transparent & Efficient
Open and thoroughly transparent Platform designed explicitly for healthcare claims accuracy, faster releases, self-customizations, & integrated workflows.
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Take control of your Payment Integrity solutions today, with CoverSelf.
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Compliance
