Cleveland, OH – Quadax, a leading provider of revenue cycle management solutions and recognized “Best in KLAS” clearinghouse software, announced the official launch of Phase One of Integrated Coverage Validation (ICV) All-Payer, a comprehensive eligibility validation solution that extends intelligent coverage verification across Medicare and Medicaid (expanded to 49 states) within a revolutionary unified platform. The solution represents months of development focused on RCS operational readiness and introduces an industry-first connection between Electronic Eligibility Verification and ICV Edit engines.
The new ICV All-Payer solution addresses a critical gap in healthcare revenue cycle management by dramatically expanding Medicaid coverage from 11 to 49 states—covering every state that offers electronic eligibility transactions—while introducing enhanced technology integration that improves efficiency and standardization across validation processes.
Key Features and Benefits:
Revolutionary Technology Integration: The solution features an industry-first connection between the Electronic Eligibility Verification Engine and ICV Edit Engine, delivering enhanced efficiency and standardization across both platforms while maintaining seamless workflow integration.
Massive Medicaid Expansion: Phase One dramatically expands Medicaid validation from 11 to 49 states, covering every state that offers electronic eligibility transactions. This represents the most comprehensive Medicaid coverage validation available in the market.
Enhanced Error Management: Refactored error codes provide clearer, one-to-one error descriptions, while condensed logic eliminates duplicate validations. The streamlined approach reduces administrative complexity and improves exception handling.
Proven Denial Reduction: Building on the success of ICV-Medicare, which has demonstrated a 78% reduction in Medicare eligibility denials, the All-Payer solution extends these benefits across expanded payer coverage with continued operational support.
Phased Implementation Strategy: Phase One focuses on enhanced Medicare/Medicaid capabilities, with future phases planned to include complete commercial payer integration and advanced automation features..
Industry Impact:
Healthcare organizations typically see 10-20% of revenue tied up in denials, with each 1% of denied claims potentially costing between $50,000 and $250,000 in lost revenue. When claims are rejected, the cost to manually fix and resubmit can be four times higher than the initial submission cost, with 60% of denied claims never ultimately being paid.
Technical Innovation:
ICV All-Payer leverages Quadax’s proven Eligibility Verification engine and integrates with state-specific transaction systems to provide real-time validation. The solution includes intelligent edit logic tailored to specific payer requirements, automatic routing of claims with validation errors to designated work queues, and comprehensive coverage intelligence including beneficiary name verification, coverage period validation, and secondary payer liability detection.
Availability:
ICV All-Payer is currently available to eligible Quadax clients and is in production for new clients. The solution integrates seamlessly with Quadax’s award-winning Xpeditor clearinghouse platform, which maintains an industry-leading 99.7% first-pass acceptance rate with payers. If you’re a current ICV user or interested in learning more, please contact your Quadax sales representative to explore how ICV All-Payer can support your revenue cycle goals.
About Quadax
Quadax is a healthcare services and information technology company focused on making the business of healthcare run better. The company partners with payers, hospitals, physician offices, laboratories, and others to improve clients’ financial and operational performance with innovative solutions, strategies, and services. Quadax’s leading software technologies that include accounts receivable systems, revenue cycle management services, electronic transaction management systems, and reimbursement support services have won Best in KLAS® in 2021 and 2022 and Category Leader in 2018 and 2019.