Pennsylvania Community HealthChoices (CHC) phase 2 providers – the countdown is on. Get ready with one of the best tools to manage claims before, during and after the CHC plan transition.

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Handle payer changes with confidence

Phase 2 of the Pennsylvania CHC plan will begin January 1, 2019. The CHC plan replaces almost all waivers now offered by the Office of Long-Term Living. Three MCOs will manage the plan – AmeriHealth Caritas, PA Health & Wellness and UPMC, with phase 2 affecting providers in Bucks, Chester, Delaware, Montgomery and Philadelphia counties.

Get details on the CHC plan at www.healthchoices.pa.gov/info/about/community.

Still preparing for the change? Join other Pennsylvania providers using ABILITY EASE® All-Payer for superior automated claim scrubbing, easily deployed custom business rules and visibility into ALL payer messages and activity.

ABILITY can help you be ready for the switch!

Get a first-pass payer acceptance rate up to 98% or better and track denial reason codes for any unsuccessful claims.

End Manual, Time-Consuming Follow-Up

Automatically validate claims, avoiding adjudication issues

Get Fast, Clear Correction Guidance

Easy-to-access remit details are included with remit payments

Reduce A/R Days

More precise, predictable cash flow gives you better operational insights

Address Eligibility Issues Up Front

Fast, up-to-date correction messages stop the need to hunt down rejection causes, contact payers, submit appeals and monitor “unique” payer rules

Improve Insight Into ERAs

Any claim rejected by a payer is instantly back in your work queue with a clear message about the claim correction needed

Increase Accuracy of Revenue Projection

Speed up your payment cycle by validating claims and auto-fix claims against the most accurate, current claim rules available
Fact sheet: Learn more about what ABILITY EASE® All-Payer can do for you!
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Ready to see how ABILITY EASE® All-Payer can help you succeed in this transition?

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