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by FireBeyond 2 days ago
"Repricers" work on both sides of the equation - providers and provider networks use them to maximize the procedure codes around an ICD-10 diagnosis code.

And insurers use them to minimize the list of procedures they'll accept and pay for around a given ICD-10 code.

1 comments

Honestly, if this means a more certain payment confirmation up front and not a surprise bill, I see this as a good thing for patients.