Join the next era of payment accuracy
Payment integrity is an effective strategy to control costs without compromising care. But yesterday’s approaches are no match for the complexity of today’s challenges. Our next generation of solutions focus on preventing errors before claims are paid for greater efficiency, better experiences, and improved costs.
We’re at the forefront of payment integrity, accelerating its evolution. We’ve taken what we’ve learned through decades of experience to offer you new solutions powered by deep data sets, ground-breaking technology, and sophisticated analytics. But our real power comes from our team of approachable experts who understand what true partnership is all about. Our team meets you where you are, making the path to a more effective and efficient payment integrity strategy easier to navigate.
It’s time to get excited about payment integrity
On the surface, the subject of claims payment accuracy may sound a bit dry and technical. We find it fascinating. We see that payment integrity offers incredible potential to tackle one of the biggest challenges for health plans — and our healthcare system: affordability. To achieve this, we break down barriers, partner like never before, and keep humanity at our core. It's this vision, collaboration, and integrity that set us apart.
Expertise
Since we live and breathe healthcare, we design and deliver solutions that maximize results and support your valuable member and provider relationships.
Powerful technology
Advanced analytics driven by artificial intelligence and machine learning power our solutions for unmatched accuracy and efficiency. Plus, our next-gen technology is backed by a team of seasoned experts who partner with you every step of the way.
Full transparency
It’s critical to see how your payment integrity program is performing. That’s why we provide access to easy-to-read dashboards to monitor your program’s progress and provide insights that optimize results.
Take payment integrity
to the next level
Our solutions bring together breakthrough technology and human expertise to help speed your ability to drive cost savings and value for your stakeholders.
Data Mining Solution
Find and resolve claim errors faster and more accurately.
Coordination of Benefits Solution
Quickly identify members with multiple coverage and make accurate coverage determinations.
Subrogation Solutions
Streamline recovery through our structured, proven process. Explore our offerings:
Explore related solutions
Healthcare sustainability depends on integrity
The health of the healthcare system improves when spending is responsible and accurate. Today, platform technology and advanced analytics are paving the way to make that more efficient and more proactive than ever before.
Learn about the opportunities we see to embed more financial integrity across the healthcare system.
Transformative payment integrity
January 23, 2024
One of the most effective cost-containment strategies for health plans is also ripe for transformation: payment integrity.
Interview with Aaron Browder
January 23, 2024
Access an exclusive interview with payment integrity expert Aaron Browder and learn about our newest forward-thinking health plans.
Interview with our payment integrity leaders
January 23, 2024
Access our interview and learn about the latest end-to-end payment integrity strategies.
Ask us about payment integrity
Health plan leaders, contact us to learn more about the possibilities and impact of payment integrity.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
