Digitize documents to streamline processes and workflows
Contract Intelligence drives meaningful value through:
- Digitized contracts that can enable faster pre- and post-payment integrity audits, which helps reduce false positives and increase medical cost savings
- Quick validation of coverage, policies and reimbursement terms that can help reduce denials, provider abrasion and administrative overhead
- Up to 20% improvement in medical cost savings*
Industry insights
Article
How AI, data and investigative expertise are helping health plans detect fraud earlier and stop losses before they occur.
Article
As health plans address billing, coding and inpatient utilization issues, readmissions have drawn renewed focus as a payment integrity risk.
E-book
A step-by-step guide for health plans to optimize payment integrity software, maximize cost savings and increase payment accuracy.
Complementary solutions
Service
Data Mining
Identify claim errors and overpayments related to duplicates, coordination of benefits, billing issues and contract administration.
Service
Claim Review
Prevent improper payments, reduce medical spend and minimize provider abrasion with our comprehensive suite of pre- and post-pay solutions.
*2024 internal model projections. Results may vary across health plans and are not guaranteed.