O4 Hubs detail
O4 Detail Hero Banner

Claims and payment accuracy

Optum® Payment Integrity strengthens accuracy at every touch point in the billing lifecycle.

O4 1 Column (Full)
O4 Text Component

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.

O4 Simple Cards

Explore our solutions

O4 Simple Card

Claims Edit System

Edit claims for all business lines and claim types.
O4 Simple Card

Claims Pricing Solutions

Drive prospective payment system pricing accuracy and efficiency with Optum® EASYGroup™.

O4 Simple Card

Claims Validation

Validate all claims while minimizing provider abrasion.
O4 Simple Card

Coding Advisor

Identify common billing errors and improve provider billing behavior.
O4 Simple Card

Comprehensive Payment Integrity

Centralize payment integrity for increased results.
O4 Simple Card

Coordination of Benefits

Identify critical administrative coordination of benefits issues.
O4 Simple Card

Credit Balance

Maximize overpayment recovery.
O4 Simple Card

Data Mining

Identify and recover payment errors.
O4 Simple Card

Emergency Department Claim Analyzer

Control rising emergency outpatient facility cost.
O4 Simple Card

Network Solutions

Our solutions focus on out-of-network claims.
O4 Simple Card

Itemized Bill Review

Save on high-dollar inpatient cases.
O4 Simple Card


Maximize recoveries with member sensitivity.
O4 Simple Card

Comprehensive Denial Prevention

Prevent claim denials and reduce administrative waste.

Realize cost savings with our payment integrity solutions

Related content

O4 Lateral Card

Achieve claim pricing accuracy and efficiency

Create a framework that drives first-pass adjudication.

O4 Lateral Card

Activate savings with comprehensive payment integrity

Taking a comprehensive approach to payment integrity can help health plans reduce administrative and medical costs.