Emergency department facility coding is complex and costly when it’s inconsistent. See how leading health plans are improving E/M level accuracy and controlling ED spend with a configurable, pre-pay approach.

Our program overview provides payment integrity experts with the..

• A $200-$500 swing per ED claim adds up fast. Learn how small shifts in E/M facility coding across high-volume emergency department claims can create outsized financial impact, and how plans are addressing it proactively.

• ED facility coding demands more than basic edits. See how comprehensive, diagnosis-driven evaluation supports more accurate, defensible reimbursement at scale.

• Accuracy without unnecessary provider abrasion. Discover how automated, pre-pay evaluation that assesses at the appropriate level at payment helps reduce administrative burden while supporting transparency and collaboration.

• Built for real-world payment integrity teams. Explore how configurable rules, expert analytics, and ongoing optimization come together in a full-program model that adapts to your strategy, not the other way around.

• No heavy IT lift. No new vendors. Learn how health plans deploy a scalable ED solution using existing Lyric integrations, with predictable PMPY pricing and future-ready design.