Edit Management

Eliminate IT Delays with Tech that Speaks Your Language 

With ClearBridge, auditors and coders can quickly develop and apply edits using a system that’s built with user-friendly terminology like claims, diagnosis codes and procedure codes.
Feature

User-friendly Edit Development

Empower your team with real-time edit adjustments for increased auditing efficiency and accuracy. Harness our user-friendly edit programming language, accessible without any prior programming experience, to enhance audit quality and eliminate the reliance on IT support.

Feature

Simple Code Management with Attributes

Assign attributes to specific codes, and let our system automatically pull and update lists for edits, reducing manual input. This efficient approach simplifies yearly code updates, maintaining the accuracy and relevancy of your edits.

  • Save Time
  • Reduce Manual Effort
  • Maintain accurate, up-to-date edits
Feature

Test & Validate: Edit Sandbox

Payment integrity auditors often face challenges in testing and validating new or revised edits without impacting production. ClearBridge technology addresses this issue with its “Edit Sandbox” feature, enabling you to test edits in a safe, isolated environment, ensuring accuracy and flexibility.
Integrations

Seamless integration with industry leading platforms

Create tailored audits with expanded filtering

One of the primary pain points for payment integrity auditors is efficiently filtering and selecting claims based on specific criteria. ClearBridge technology offers advanced filters and client exclusions, providing auditors with increased precision and flexibility in the auditing process.

Manage multiple edit hits on a single claim

ClearBridge offers a high-level overview, detailing line numbers, reference claim numbers and other relevant information providing you with the flexibility to focus on the most relevant audit aspects.
Feature

Strengthen Provider Relationships with Exclusions

Turn exclusions on to strengthen relationships with providers. This customization allows you to maintain a balanced audit approach and avoid overwhelming providers with excessive requests.

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Are you responsible for safeguarding your healthcare payor and provider’s financial strength? Reclaim integrity with Penstock.
Accuracy for All

Built for Growing Teams

For Auditors

With easy search, reporting and edit creation, ClearBridge eliminates the reliance on IT. Its features include advanced custom search, streamlined code management, an ‘Edit Sandbox’ for effortless testing and time-saving comment templates with automatic code and description population for enhanced efficiency.

For Managers

Our platform provides audit managers with tailored work queues, allowing assignments based on various criteria including auditor skill and claim type. Get enhanced performance and visibility with metric-based reporting, that empowers managers to make data-driven decisions and improve team performance.

Penstock SaaS Solutions

For Leaders

ClearBridge offers health plan leaders a unified audit management solution, streamlining claim reconciliation and enabling in-house edits. By consolidating audit findings and eliminating multiple vendor contracts, ClearBridge reduces provider abrasion, upholds payment integrity, and simplifies the entire auditing process.

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Featured Resources

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Frequently Asked Questions

If you can’t find the answer to your question here, don’t hesitate to contact us directly. Our team is here to provide personalized assistance and help you with any inquiries you may have about our technology or services.

Yes, ClearBridge currently integrates with your existing Mfiles, HubShare and TruCode accounts.

In addition to this, custom integrations with your plan’s existing tools are available through our implementation and tech support teams.

Getting started with ClearBridge is simple. Start by exploring our demo and meeting our team to understand how we’re elevating payment integrity and pre-payment accuracy. Our comprehensive resource library and user guide, along with a dedicated Client Success Manager, make onboarding smooth. The setup is quick and tailored to your needs, ensuring your audit success story starts off strong.

Penstock offers stellar customer service with guaranteed response times for support inquiries through our dedicated Help Desk. From 8am – 8pm EST, our experts are ready to provide timely assistance. Our implementation and ongoing support offerings range from a technology-focused SaaS solution to a flexible hybrid model and even a full-scale outsourcing service. We’re committed to flexibility, ensuring our involvement aligns with your needs.

At ClearBridge, we prioritize data protection. We have completed the HITRUST r2 Readiness Assessment, and our SOC 2 Type 2 Report affirms our commitment to data security. Our systems undergo yearly HIPAA-HITECH IT Security Risk Analysis to maintain compliance with health information regulations. Additionally, our data is stored securely across multiple ISO/IEC 27001:2013 and NIST SP 800-53 certified locations. We use advanced encryption methods, adhere to OWASP Web Security Testing Standards, and support SSO and MFA for added security layers.

Absolutely. ClearBridge was designed by auditors for auditors, which makes it an intuitively easy-to-use platform for audit success. It offers auditor-friendly language and infinite search capabilities, and its edit engine doesn’t require a developer. Users can test edits in a controlled environment, and the integration of MFiles, TruCode and HubShare allows seamless information sharing, efficient access to the latest pricers and groupers and effective document collaboration.

Yes. ClearBridge is designed to enhance your existing processes, help find and prevent recurring claim errors, and facilitate a more effective, less burdensome claims auditing process. By consolidating information from various systems into one platform, it allows real-time automated reporting of key metrics, helping you save time, money, and resources.

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