µç³µÎÞÂë

icon

PAYMENT ACCURACY

Improve claims adjudication, payment integrity, and payment operations to reduce costs and increase provider satisfaction.

81 % Of outlier providers increase their billing accuracy

All Payment Accuracy Solutions

Payment accuracy solutions

Increase claims payment efficiency with clinically-based claims editing

Take control of medical spend and increase auto-adjudication rates with automated workflows, policy alignment, and simplified management of complex payment rules.

Our payment management solution lets you apply advanced rules and clinically-sourced edits to help improve payment accuracy, reduce appeals, and drive medical and administrative savings.Ìý

2 SOLUTIONS

Payment accuracy solutions

Increase payment accuracy with integrated analytics

Minimize pre-payment waste and maximize overpayment recovery while maintaining provider satisfaction.

Our payment integrity and medical records and claims review solutions help you identify improper payments, collaborate with providers, and evaluated flagged claims for potential risk.Ìý

2 SOLUTIONS

Payment accuracy solutions

Optimize savings with verified eligibility and fast claims repricing

Maximize medical and administrative cost savings by verifying alternative coverage and customizing out-of- network claim management.

Our solutions help you proactively identify undisclosed coverage prior to payment and increase savings with an integrated repricing network of more than 50 national and regional PPO networks.Ìý

2 SOLUTIONS

Let’s start a conversation

We’re here to help you find out howÌýour solutions could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show howÌýthese solutions can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in µç³µÎÞÂë. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.

Our outcomes

View all insights

Join Community discussions

Find and share knowledge, exchange ideas, and collaborate with peers and µç³µÎÞÂë experts to drive your solutions to success.