Payment Management Services

Inaccurate or outdated Payment Management mapping is one of the most common reasons for revenue leakage in medical billing. We eliminate this challenge with AI-powered Payment Management, ensuring every service you bill aligns with contracted payer rates and reimbursement rules.

Manually managing Payment Management is labor-intensive, error-prone, and difficult to scale across multiple payers and providers. Our platform automates this process using Artificial Intelligence (AI) and Machine Learning (ML) to compare your charge master, CPT codes, and payer contracts—automatically flagging discrepancies and suggesting updates in real-time.

Integrated with your AI billing and coding workflows, we ensure your claims are priced correctly before submission, improving revenue accuracy, speeding up payments, and reducing underpayments or write-offs.

Key Features of MEDENDx Payment Management:

• Automated Matching of Charges to Payer Contracts
• Real-time CPT Pricing Validation & Adjustments
• Alerts for Discrepancies & Contract Mismatches
• Integration with Billing, Coding, and RCM Systems
• Custom Payment Management by Payer, Plan, or Facility
• Audit-ready reports for Reconciliation & Compliance

Whether you're managing one specialty or a multi-provider network, accurate Payment Management ensures that you're not leaving revenue on the table. Our solution supports Medicare, Medicaid, and private-payer contracts across all specialties—keeping your billing aligned with the latest fee changes and contract terms.

For billing companies and revenue cycle managers, this means less rework, fewer denials, and cleaner claims from the start. Our system continuously learns from your payer activity, automatically adjusting for changes and recommending best practices to stay ahead of reimbursement shifts.

We turn your Payment Management into a dynamic, intelligent engine that works in real-time to protect and optimize your financial outcomes.