Payment Accuracy Solutions
Innovative, end-to-end payment accuracy product suite for payers that want to improve claims adjudication and streamline payment operations across all payment modalities.
Achieve Medical Cost Savings with Actionable Insights
Drive down costs through accurate payments
Federal agencies estimate that more than $1 trillion is wasted throughout the healthcare system each year. With so much at stake, payers need analytics, insights and guidance through every step of the payment continuum.
Our integrated end-to-end payment solutions, deep expertise, and commitment to customer service enable our clients to save billions of dollars annually in medical and administrative costs.
As your partner in driving value, we provide you with transformative insights for every stage of the payment process. We help you work better, faster, and more efficiently to deliver improved care and better outcomes at a lower cost.
Improve payment integrity and transparency
As the industry leader in payment policy, intervention, and audit solutions, we:
- Ensure the right solution is applied at the right time. We help you maximize your savings while minimizing provider abrasion.
- Integrate analytics and artificial intelligence models to help you evaluate and flag your payment risk/vulnerability in relation to your tolerances.
- Optimize control processes and models to assign appropriate solutions to your payment risk.
- Implement visualization tools to improve transparency, helping you understand and control your solutions relative to payment risk.