How We Help
Our goal is to simplify and streamline your claims payment integrity and cost-containment efforts. To do that, we’ll use our proven solutions while working with you to explore innovative options and customized programs that address your needs. Together, we’ll figure out the best way for your organization to maximize savings along the claims payment continuum.
Our Services & Solutions
We have a range of services that spans the claims payment cycle and digs deep to positively impact your financial performance — from prevention of mispayment to verifying your members’ information to recovering billions of dollars.
PreVent is a proactive, post-adjudication auditing solution that identifies and corrects claim inaccuracies before payments are sent to the provider. A rapid turnaround time allows PreVent to seamlessly integrate with your daily or batch payment cycle.
With three decades of growth and continuous fine-tuning, our proprietary data-mining application identifies a wide range of overpayments: coordination of benefits (COB), contractual errors, duplicate payments, eligibility issues and many others.
Proprietary software and expert analysis helps our team quickly identify and seek reimbursement from all sources that may be liable for claims you have paid. We cast a wide net to identify more cases, which leads to greater recoveries on your behalf.
Discovering other insurance and determining your payment liability is complicated and constantly changing. We make it easier for your team. Our end-to-end COB services deliver savings at every point along the COB continuum.