Babel Health
Member Level: SponsorVendor Overview
Description of Services: Babel Health offers the only fully integrated platform for risk adjustment data submissions. Our single, easy-to-use interface manages all complex risk adjustment and encounter submissions across RAPS, EDPS, EDGE and Medicaid LOBs. Our technology pre-validates 100% of your encounter data, alerting you to errors prior to submission—before they turn into revenue loss. And with our platform, you have the power to quickly and easily submit accurate, complete and compliant encounter information.
Primary Service: Automation, Workflow and IT Services
Secondary Service: Enterprise Data
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106 Isabella Street, Suite 102
Pittsburgh, PA 15212
855-984-1775
http://www.babelhealth.com
Documents
Case Study: Community-based health plan improves submission rates and recaptures lost revenue
Claims Processing has been around for years. And while the process has evolved, the endgame has remained the same -pay the right amount to the right provider for the right services delivered to the right members in a timely manner. To complicate its arrival, Encounter Reporting is changing the endgame for Claims Processing. It is no longer enough to do all the "right" things; now we must also collect the right data in the right format according to the right government agency guidelines.
Brochure: From data import to acceptance and reconciliation - your comprehensive EDPS/RAPS data management center
With Babel Health, you get control of and insight into your EDPS and RAPS risk adjustment data. Babel provides health plans with a comprehensive risk adjustment software and service solution for both EDPS and RAPS.
Brochure: Prioritize claims to optimize your revenue payments
Babel's unique cloud-based R3 Insight tool gives health plans the ability to identify and prioritize claims by risk, reconcile discrepancies and positively impact revenue. By working the high risk errors first, plans can recapture the greatest possible revenue in the first or second sweep, allowing them to get paid for these claims earlier than if they were to work through the errors blindly. Plans can also forecast payments utilizing the financial overview by sweep reporting capability.