Featured Case Study
customer success
PM/EHR partner turns claim editing into a competitive advantage.
A leading PM/EHR provider expanded its platform with continuously maintained coding and billing logic, now supporting more than 7,500 providers and identifying $754M in billed errors in one year.
RESULTS
Proof in practice.
- $3.5B total billed claims
- $754M total billed errors* identified
- 21.51% total services billed with errors
Expand clinical expertise without owning the upkeep.
A leading PM/EHR provider wanted to strengthen its platform with clinical coding and billing intelligence without diverting development resources to content maintenance. Keeping pace with changing coding requirements and payer policies demanded dedicated expertise, while its customers needed better claim accuracy and reimbursement protection within their existing workflows.
Continuously maintained logic across 7,500+ providers.
The parter integrated Aptarro's hosted ClaimStaker solution, bringing clinical coding, billing, and claim validation logic directly into its platform. With content updated in near real time rather than quarterly, the partner could deliver current reimbursement logic without maintaining it internally.
Today, more than 7,500 providers use the solution. In a single year, it identified $754M in billed errors across $3.5B in claims. The decades-long partnership has also expanded into medical necessity verification, extending the platform's capabilities and creating additional opportunities for growth.
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