Medlytix is a solution to scrub Medicaid and Medicaid Managed Care claims for existing primary commercial insurance and Medicare coverage on the claim. This solution assists a Provider in billing the correct Payer upfront as well as facilitates the conversion of a portion of a Provider’s Medicaid population into a claim with higher-paying primary insurance coverage. Depending on the Provider’s commercial insurance contracts, these newly identified claims will pay anywhere from 175% – 500% greater than the recovery would have been from the initial Medicaid coverage. Plus, future Medicaid take-backs will be avoided as will timely filing issues from the primary Payer.
- Increase Account Yield and Cash due to primary insurance identification
- Reduce Medicaid Take-Backs
- Improve Operational Efficiency by billing the correct Payer upfront