Optum® Data Mining blends human intelligence and proprietary technology to identify and eliminate overpayments. We review and deny errant claims before they’ve been paid and identify overpayments that have already been reimbursed, saving health plans an average of $1.96 per member per month.
Identify overpayments across categories
Our investigative approach to overpayments works across a breadth of categories, including duplicate(s), coordination of benefits, billing issues and contract administration, representing the physician, hospital, ancillary, lab and radiology settings.
Prevent future errors
Our advanced analytics pinpoint the root cause of errors, arming health plans with the actionable intelligence they need to prevent future errors and avoid corrective paperwork.