Our Solutions
Discover Lyric's market-leading pre-pay editing solutions.
Our ambition to simplify the business of care drives us to be more: to harness our 30+ years of expertise as a leader in pre-pay editing as ClaimsXten to create a system of robust payment accuracy solutions, backed by language learning models, and strategic partnerships.
We’re proud to offer our comprehensive pre-pay editing solution—including primary and customizable secondary edits. We're evolving to meet industry imperatives and customers’ needs ensuring unwavering value at every step.
Primary Editing
As a Lyric customer, you now have the opportunity to implement our full content library and robust policy management capabilities developed and backed by our experienced medical directors, health information specialists, and certified coders.
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Reimbursement
Medical Policy
Knowledge Packs
Content Library
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Medical Policy
Policy Management Module
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Web-based provider access to:
Claims Audit Rules
Payment Policy
Clinical Rationale
Secondary Editing
With secondary editing, you can deploy advanced content—with no licensing fee—that will deliver incremental savings opportunities and drive consistency beyond your existing primary editing configuration. Using robust claims history, this customizable editing goes beyond traditional rule sources to leverage advanced concepts, your own plan policy, and market trends with an expanded review of additional medical claims, including inpatient claims.
Real Time
Because we offer real time editing, there’s immediate claim feedback–no more batch processing delays or need to hold claims.
Scalable
We’re your ally in maximizing claims accuracy and savings. Our secondary editing solution can meet your evolving needs.
We’ll identify new savings opportunities by:
Evaluating your savings opportunities against our existing concept library
Analyzing your claims data to identify key new savings opportunities
Re-evaluating your savings opportunities as new content is added
Accurate
Through accurate identification of savings and our transparent invoicing process, you and your members can be assured that you only pay for true realized costs.
Recognizable
If you’re already a customer, you’re familiar with our architecture and exceptional customer support. And if you aren’t, our customer support team will be with you throughout the implementation process and always there for questions or guidance.
We are building and evolving our technology to be fair, transparent, and respectful of privacy and safety. Through scalable technology, deep expertise, and strategic partnerships, we’re simplifying the business of care.
The time has never been better to choose Lyric as your payment accuracy ally. We’re building on our heritage and ClaimsXten (CXT) platform as the leader in primary editing to become your one-stop payment accuracy platform, using the power of emerging technology and partnerships to create efficient, cost saving solutions.
