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2017 facets claims user guide
2017 facets claims user guide








The Configuration Migration Utility for Facets helps control, manage and successfully execute configuration promotions.

2017 facets claims user guide

This task becomes more complex when multiple, simultaneous changes are involved. When making and managing system configuration changes, it is critical that payers continually test in order to validate the integrity of the changes and to ensure that new configuration items are production-ready.

  • Reduce critical defects introduced to production. The application is virtually self-documenting, automatically summarizing what you have tested and reconciled.
  • Trim test cycle time. Automation can help you save hundreds of hours building and documenting test cases.
  • Lower administrative costs. Reducing errors in provider payments reduces manual rework, helping drive down costs.
  • Reduce overpayments to providers. Data that has been thoroughly vetted helps ensure that your plan is paying its contracted providers the correct amounts.
  • 2017 facets claims user guide

    Plans that do not have a strategy for testing and validating claims data may be at risk.

    2017 facets claims user guide

    An added benefit of Claim Test Pro is that it provides management tools that track and report progress. The solution automates many processes that previously were done manually, helping plans increase administrative efficiencies by reducing the resources needed to manage these initiatives. In addition, Claim Test Pro provides a comprehensive set of testing suites that provide for more diverse testing schemas, enabling testing of a multitude of provider reimbursement scenarios. The solution greatly reduces the need for manual creation of test cases, automates the management and reconciliation of results, tracks and documents test projects and cases and electronically converts system data to applicable testing data sets to create a robust and applicable testing environment. With Claim Test Pro, you can test claims data efficiently and cost effectively and verify with confidence that correct claim totals are being paid.










    2017 facets claims user guide