Checking in on the Medicare Reference Pricer
Whether you already license our product or simply want to learn more, our Milliman experts discuss a range of key updates to the Milliman Medicare Reference Pricer, including:
- Batch submission — price (or reprice) bulk claims datasets to Medicare
- Exposed API — using a webAPI to seamlessly integrate Medicare pricing with your claim processing and analytics system
- Customizable EOB/EOP — automatically generate customizable explanation of benefits/explanation of payment documentation
- “As of” pricing — price claims using historical pricing factors "as of" a previous date, allowing control of when retroactive CMS pricing logic is applied.
- What’s next in the development pipeline
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