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Fact Sheets
Pre-Pay Editing
Our pre-pay claim edit engine and rules are the foundation of our solutions. From our market-leading primary edits to our customizable secondary edits and policy, we’re primed to help customers ensure their payment accuracy program is preventing overpayments due to claim errors and maintaining integrity.
Secondary Editing
Combining Lyric’s robust secondary editing solution with our current primary editing capabilities can ensure that your payment accuracy program is providing maximum impact.
Secondary Editing for
Trizetto Facets Customers
Our partnership with Cognizant allows Trizetto Facets customers to connect to the power of Lyric’s secondary editing capabilities via the Trizetto Facets Interface to Lyric Secondary Editing.
Genetic Test Module
In partnership with Concert Genetics, we provide genetic test edits provide insight into the type of test represented by complex, multi-code claims and return precise payment instructions backed up by evidence and coding rules.
Knowledge Packs for CXT
We are proud to offer specialized, sourced, and nationally adopted clinical content that provide the foundation of rules and logic needed to execute payment policies and guidelines for CXT customers. They include: Cross Claim Plus, State Medicaid, Waste and Abuse, Core and Code Auditing, Code Auditing Premium, CMS Sourced, Facility, and NCD/LCD.
Knowledge Packs for CXT Select
We are proud to offer specialized, sourced, and nationally adopted clinical content that provide the foundation of rules and logic needed to execute payment policies and guidelines for CXT Select customers. They include: Cross Claim Plus, Waste and Abuse, Core and Code Auditing, Code Auditing Premium, CMS Sourced, Facility, and NCD/LCD.
Policy Management Module
Our Policy Management Module is a single-rule framework that can be layered into many policies, providing an enterprise foundation for streamlining creation, deployment, and maintenance of a wide variety of policies and edits.
Concept Library
Our Concept Library is perfect for customers who need flexibility to enhance their payment accuracy program. New content and policies are available to license each quarter.
Clear Claim Connection
Clear Claim Connection is our provider transparency solution that gives the power to disclose claim editing policies and specific claim payment decisions consistently and efficiently to providers.
LyricIQ
Combines ClaimsXten (CXT) and other edits, rules, AI and human expertise into an integrated service that surfaces unrealized value, serving as a one-stop shop for integrating capabilities across the payment accuracy continuum.