Enhance claims payment accuracy
Everyone involved in health care delivery wants accurate billing and payment. Our team partners with providers, payers and other stakeholders to improve accuracy and transparency.
Our payment integrity solutions can be implemented at any stage. And they integrate with your existing processes.
Explore our solutions
Comprehensive Payment Integrity
Centralize payment integrity for increased results.
Claims Pricing Solutions
Drive prospective payment system pricing accuracy and efficiency with Optum® EASYGroup™.
Claims Validation
Detect suspicious claims and pend for human review.
EDI Messaging
Achieve higher first-pass billing accuracy.
Provider Education
Enhance billing accuracy and provider relations.
Claims Coding Solution
Control rising emergency outpatient facility cost.
Claims Edit System
Edit claims for all business lines and claim types.
Network Solutions
Our solutions focus on out-of-network claims.
Coordination of Benefits
Help members identify additional insurance.
Data Mining
Obtain a full view of claims paid in error.
Itemized Bill Review
Save on high-dollar inpatient cases.
Subrogation
Maximize recoveries with member sensitivity.
Credit Balance
Maximize overpayment recovery.
Payment Recovery
Focus on claims resolution.
Advisory Services
Take the proactive path to payment integrity.
Related content
White papers, briefs, ebooks
Achieve claim pricing accuracy and efficiency
Create a framework that drives first-pass adjudication.
Everest Group recognizes Optum as a Leader
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