EncoderPro.com Expert

Code detail screen

Additional screens: MIPS quality measures | Enhanced compliance editor

EncoderPro.com Expert

MIPS quality measures

Additional screens: Code detail screen | Enhanced compliance editor

EncoderPro.com Expert

Enhanced compliance editor

Additional screens: Code detail screen | MIPS quality measures

EncoderPro.com for Payers

Code detail screen

Additional screens: DRG payment reference | CPT®/HCPCS revenue code reference

EncoderPro.com for Payers

DRG payment reference

Additional screens: Code detail screen | CPT®/HCPCS revenue code reference

EncoderPro.com for Payers

CPT®/HCPCS revenue code reference

Additional screens: Code detail screen | DRG payment reference

EncoderPro.com for Payers



Optum360® EncoderPro.com for Payers is an online coding, billing and reference tool designed for payers.

EncoderPro.com for Payers is designed to meet the specific needs of health insurance companies, selfinsured employers and third-party administrators.


EncoderPro.com for Payers includes:

This in-depth guide outlines everything you need when shopping for online coding, billing and reimbursement solutions.

  • Essential code sets
    ICD-10-CM/PCS, ICD-9, CPT®, HCPCS
  • Modifier/Deleted Crosswalk capabilities
  • Medicare CCI and OPPS edits
  • Complete code history
  • Local and national coverage determinations
  • Enhanced compliance editor
  • Also includes facility content such as DRG, fee, and revenue codes
  • And more

Depending on your needs we also offer EncoderPro.com Expert. Each is a cost competitive solution to meet a range of needs.


Which tool is right for you?


Customize EncoderPro.com for Payers

EncoderPro.com is a flexible solution that can be customized to your exact needs with valuable add-on content. Get your work done faster with the add-ons you need.



Mary Beth and over 60,000 users rely on EncoderPro.com

Optum360 EncoderPro.com Expert has cut down on the number of rejections, reduced rework and decreased the average number of A/R days. It has also improved our productivity, and ensured that we get reimbursed properly for the services we provide.

Mary Beth DeGray
Revenue Cycle Manager, Indian Stream Health Center


CPT is a registered trademark of the American Medical Association.