Emdeon expands healthcare payment integrity solutions with TC3 acquisition

Emdeon Inc., a leading provider of healthcare revenue and payment cycle management and clinical information exchange solutions, today announced its acquisition of TC3™Health, Inc. The acquisition of TC3 expands Emdeon's already robust Payment Integrity solutions for healthcare payers to include new claims analytics tools from pre-adjudication through post-payment, as well as access to a broad out-of-network claims cost management solution. 

Headquartered in Irvine, CA, TC3 is a leading provider of cost containment solutions, including payment integrity analytics, clinical code editing and out-of-network claims cost management to payers and claims administrators. TC3's leading fraud, waste and abuse and clinical code editing capabilities further bolster Emdeon's comprehensive suite of prospective and retrospective payment integrity solutions. Additionally, TC3's out-of-network claims cost management solution provides healthcare payers with access to one of the nation's largest aggregated preferred provider organization (PPO) networks. 

"The combination of Emdeon's health information and connectivity network, connecting more than 1,200 payers, with TC3's technology and extensive PPO network delivers a comprehensive cost containment solution for our customers at a time when controlling costs is of paramount importance," said Gary Stuart, executive vice president of payer services for Emdeon.

"There has never been a time in healthcare when we've seen such universal agreement and intense focus on containing healthcare costs," said Rob Gerger, chief operating and financial officer for TC3. "Enabling TC3's solutions within Emdeon's already broad suite of payment integrity solutions will help healthcare payers control costs by efficiently identifying, processing and accurately paying only valid claims."