Payers: anyone have a solution for keeping track of all the relaxations, changes, edits, etc. over multiple streams for business users?

Hiya.

Ok, so you have multiple streams, right? You have all the health care transactions: 270, 275, 276, 278, 834, 835, 837. But you also have different lines of business. You have special partnerships with other payers, you have regular claims, and repricing claims, and so on.

Each of these has their own edits in place -- the relaxations of errors, the special rules written in, bumping an error from the 999 to the 277CA, etc. And your software handles all those edits like a champ. Good for them, good for you.

But you know what that software does *not* do? Give you a clear and easy report on all the edits you've put in place over twenty years for each of those streams in a language any business user can understand. So you get requests for why transactions did what they did. And, sure, you can find the edit in question that caused the outcome, but you don't know when that was installed. Maybe it was before your time. And sure, there's a demand/ticket/request/remedy out there somewhere. But maybe that was on the old change control software. Or maybe it's been archived. Or maybe it was just not written in a way that's easy to find.

So how in the hades does anybody keep track of the countless edits? In a way that can be viewed by non-tech folks that they will understand? Is this just going to end up being a gigantic spreadsheet, or perhaps a dozen of them?