Manually reconciling secondary Medicaid adjustments post-Medicare claim processing is resource-intensive. Teams struggle with inconsistent state logic and gaps in adjustment.
Our Approach
Speridian implemented an automation that identifies eligible Medicaid crossover claims, applies reconciliation logic, and posts adjustments with audit-ready tracking.
Key Features
Automated crossover claim identification
Customizable reconciliation logic
Adjustment batch posting with journaling
Exception handling with manual
override options
Audit-ready transaction reports
Key Benefits
86% reduction in reconciliation time
Consistent adherence to Medicaid guidelines
Minimized human errors in postings
Offering total cloud neutrality, this solution is deployable on any infrastructure and integrates easily with your enterprise environment. It supports scalable, secure operations without tying you to a specific provider.
Talk to us to find out how fast this accelerator can go live. Request a personalized demo today.
