Changing affiliations, mergers and acquisitions, payer mix and new products have
increased the pace of policy and procedural changes in recent years – creating
a challenge for healthcare organizations that must stay up-to-date to avoid payment
Stay on top of frequent policy and procedure changes by insurance companies with
Experian Health Payer Alerts. This patent-pending service offers a simple and convenient
method for monitoring these modifications while minimizing their impact on the bottom
line. Available both through Experian Health’s online portal and a daily email
digest, these timely notifications provide immediate access to changes posted on more
than 60,000 Web pages operated by more than 550 payers.
Alerts are offered in four different categories – administrative, clinical,
reimbursement and pharmacy – and are designed to be read in a matter of seconds.
Each one delivers a comprehensive overview of the latest policy and procedure changes
so providers can quickly make any required adjustments, save staff time and improve
Easily sort, filter and search for alerts pertinent to your organization and identify
payment trends by a specific code, date or specialty. When combined with Experian
Health Contract Analysis, providers are able to better prepare for contract negotiations
and determine the financial impact of a proposed or historical policy change dictated
by a payer.
With Payer Alerts, Providers Also Can:
Reduce claim denials for services that are no longer covered
Increase revenue by updating service and product authorization requirements as
Drive efficiencies by delivering targeted information to the appropriate staff