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Checking in on the Medicare Reference Pricer

By Bill Alto, Brian Allen, Uriah McCanna

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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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We’re here to help

Ask the tough questions. We’re ready for them.

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