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.
CoverSelf’s Revenue Integrity Platform is an integrated, unified & customizable solution for all types of provider revenue cascade. This platform’s objective is to empower the HIM & RCM departments to increase clean claims rates on the first pass and to reduce revenue loss & administrative waste.
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.
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.
“Our partnership is a critical step in establishing a tech platform that is singular for us... that enables ease of use and management of patients, staff, and new companies that can come in to join us on our journey to health assurance.”
CTO, Miles Technologies
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Coding Guidelines & Updates
Everything You Need to Know About the ICD-10-CM April 2023 Update