McKesson ClaimsXten is a solution for clinically-based claims auditing that offers rules creation and firing that enable payers to process each claim under the specific terms and conditions of each benefit plan. ClaimsXten combines with McKesson Total Payment platform, a comprehensive library of McKesson clinical rule content, and a services team of medical claims experts to provide your organization with more medical and administrative savings opportunities. With full-service, technologically advanced ClaimsXten, offers a standard fee-for-service claim code editing
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more.
