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Achieve higher first-pass payment rates

Optum360® streamlines the claims process from preparation and submission to payer response. Its powerful content and rules-based editing can eliminate needless feedback loops between providers and payers. It screens and corrects claims even before they leave your system.

This proactive approach improves claims integrity and boosts first-pass payment rates. This protects health organizations from avoidable rework, delays and denials. And our service and support teams keep you compliant with payer regulations and guidelines.

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Improve claims integrity and simplify processing

  • Accurate claim generation
  • Low-cost claims submission
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Our solutions

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Claims Administration

Lower denial rates and identify unbilled revenue by flagging errors before submission.

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Claims Integrity

Streamline the claims process from preparation and submission to payer response.

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60M
Claims processed per month by the Optum iEDI Clearinghouse

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2 seconds
Average transaction processing speed

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Average unbilled revenue identified per Claims Manager client, per year

We are able to educate and empower our clinical staff to compress the cycle time and improve the accuracy of claims coded the first time.

– Director of Revenue, Optum Claims Manager Client