Expertise
Milliman has the expertise to maintain your EDGE server, including contracting, configuring, acquiring CMS provisioning software, and registering. Upon successful completion of data processing and reconciliation, we will complete the submission process by properly transforming the data and loading it into the EDGE production environment.
Continuous process
We have a continuous process for reviewing and reconciling EDGE submissions and will work with you to ensure each submission passes our daily quality standards. We will also help you track your data over time and identify patterns, before your data reaches EDGE, to uncover signals of systemic weaknesses in your overall data management process.
Clarity
Additionally, Milliman brings clarity to error reports through precise summaries of these errors paired with direct action items as part of a larger strategic plan for correcting errors and improving data quality. We can identify the errors offering the most potential risk score value to help your team effectively deploy and allocate resources.
Products related to EDGE ASSIST
Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)
IMPROVE combines your detailed claim and enrollment information with a proprietary algorithm to uncover opportunities to investigate undocumented or unsupported conditions or encourage enrollees to schedule annual wellness visits.
Milliman Advanced Risk Adjusters
Fuel population health analytics and manage risk adjustment with our award-winning suite of tools and data.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.