Cost savings found in the details
Complex claim errors can only be caught by physician reviewers with the experience to spot mistakes that traditional automated systems can't detect. Focused Claims Review (FCR) is an innovative billing accuracy review approach targeting procedure, surgery and facility claims.
- A significant percent of targeted claims reviewed (55% to 65%) show errors.
- Clients saved 17% to 22% of total claims dollars reviewed.*
Let’s start a conversation
We’ll help you find out how our solution could benefit your organization.
Industry insights
Article
Virtual second opinions give members a checkpoint before major treatment decisions. Labor and trust funds get better outcomes and smarter spend.
White paper
This white paper analyzes CAR T utilization, outcomes and economic impact across commercial and Medicare populations in the Optum Cell and Gene Therapy (CGT) program from 2022–2024.
Article
Life after cancer is complex, and survivorship — living with and beyond diagnosis — demands long-term support for mental, physical and financial health.
Complementary solutions
Solution suite
Complex care management
Discover simple solutions for complex conditions to reduce the cost of care, manage organizational risk and improve outcomes.
Solution suite
Specialty Management
Simplify specialty care with medical and pharmacy solutions that deliver enhanced analytics to inform strategy and lower costs.
*Savings represent cost reductions from the total claims dollars reviewed. Based on analyses including presale assessments and Optum performance metrics representing blended average experience across the program’s book of business 2023.