Take your payment integrity program to the next level
Looking for innovative strategies to elevate your payment integrity program and address today’s most pressing market challenges? Dive into our latest insights and resources to discover how to maximize cost savings, minimize provider abrasion and make the shift to denial prevention.
Key benefits
As medical costs continue to rise, health plans are challenged to deliver cost savings without amplifying member and provider abrasion.
Maximize medical cost savings
Our suite of Payment Integrity solutions can help you achieve 8-10% medical cost savings annually.
Industry-leading expertise
Our content and analytics suites use AI and human expertise to enable more precise claim selection and proactively identify emerging trends.
Improve the provider experience
Our digital-first tools and educational resources reduce the burden of managing billing errors and medical record requests for providers.
Shift to prevention
We’re working directly with providers to build transparency, simplify reimbursement and prevent avoidable denials.
Payment Integrity solutions
Available both pre- and post-payment, our suite of solutions improves payment accuracy at every point in the claim lifecycle.
Coding Advisor
Claim Pricing solutions
Claims Edit System
Claim Review
Coordination of Benefits
Credit Balance Resolution Services
Optimize your payment integrity program
Optimize your payment integrity program with our Comprehensive Payment Integrity Assessment. Our team of experts will analyze your current program to identify gaps and opportunities for improvement, providing you with a strategic roadmap to modernize your payment integrity office and increase medical spend savings.
Related healthcare insights
E-book
Learn how to create a framework that drives payment accuracy on the first pass.
White paper
Learn best practices to help health plans achieve in-year cost-saving goals.
White paper
Find out what is driving abrasion and what health plans can do to alleviate pain points.