Claims Editing

HHC utilizes Claims Editing to identify costly errors on claims of all sizes from hospitals, physicians, or any other medical providers.

With hundreds of billing systems, thousands of procedure codes and millions of code combinations, it's no wonder approximately 40% to 70% of medical claims contain errors. With our Claims Editing service, we use automated systems to identify errors such as duplicate entries, improper modifiers and unbundled charges. That's when a provider bills for an inclusive price for a set of services and then charges for the same services individually. Should a provider challenge any of the edits, appeal support is provided from day one at no extra charge.

Any of our Medical Bill Review services may be used independently or with other HHC services to achieve maximum savings. Contact HHC today to learn more.