Contract Intelligence

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Contract-based errors can slow down claim reviews, costing time and efficiency.

Manually searching agreements is labor-intensive and can lead to overpayments.

ON-SCREEN TEXT: Optum^® Contract Intelligence

Optum^® Contract Intelligence changes that.

ON-SCREEN TEXT: Automates

Scales

It transforms static provider agreements into structured, actionable data. This automates and scales the identification of contract-based overpayments to help maximize medical cost savings.

ON-SCREEN TEXT: Transparency

Clause interpretation

Digitization

Contract Intelligence is powered by AI trained on healthcare documents and rich data. Your workflow will experience increased transparency, automation of complex clause interpretation, and digitization of contracts that improves consistency and machine readability.

Our platform extracts and structures contract terms from PDFs, Word documents and even scanned images into audit-ready formats. This helps eliminate issues like typos and inconsistent data.

ON-SCREEN TEXT: Clause type

Health plan

Provider

Service code

Effective date

You can quickly locate contract terms by clause type, health plan, provider, service code or effective date — no manual digging required.

ON-SCREEN TEXT: Seamless integration

Claims operations + Interoperability

With secure APIs, Contract Intelligence also integrates seamlessly into health plan workflows, helping improve claims operations and interoperability across healthcare systems.

ON-SCREEN TEXT: False positives

Cost savings

The result? Digitized contracts enable faster pre- and post-pay audits. This helps reduce false positives and increase medical cost savings.

ON-SCREEN TEXT: Coverage

Policies

Reimbursement terms

Plus, quick validation of coverage, policies and reimbursement terms helps mitigate denials, provider abrasion and administrative overhead.

ON-SCREEN TEXT: Optum^® Contract Intelligence

Improve your payment integrity program’s performance with Contract Intelligence.   

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