Activate your savings
To meet cost-reduction goals, health plans need to:
- Improve payment integrity
- Prevent fraud, waste and abuse
- Increase focus on third-party liability
- Improve administrative efficiency
But end-to-end claims processing can be both complicated and challenging. Health plans must manage multiple software applications, databases, rules and edits — all while working to reduce administrative costs, decrease medical expenses and maintain regulatory compliance.
A comprehensive approach to payment integrity, with both pre-and post-payment solutions, can inform and improve your entire claims management lifecycle. By shifting claim integrity upstream, health plans can take advantage of value levers throughout the claims lifecycle that will reduce costs and improve relationships.