Resolve credit balances and recover claim overpayments
Health plans are facing many challenges when it comes to identifying and recovering claim overpayments, including:
- Lack of resources
- Rising costs
- Rapidly changing mandates
- High payment volume
Optum® Credit Balance resolution and recovery services help health plans research and resolve unsolicited and solicited overpaid claims. We help maximize your overpayment recoveries across all lines of business, reducing recovery time, administrative costs and medical expenses.
Maximize savings through claim overpayment recovery
Working as an extension of the provider office, we identify, research and resolve credit balances on behalf of our health plan clients.
Improve the recovery process
Our expert-led, technology-driven process reduces recovery turnaround time while maximizing your administrative and medical expense savings.
Strengthen provider relationships
Our team collaborates with more than 1,500 providers every day to research and resolve overpaid claims, minimizing provider abrasion.
Prevent future claim overpayments
With advanced analytics, we identify issues and ongoing errors causing claim overpayments, providing opportunities to prevent them in the future.
Unlock additional savings with our Credit Balance resolution services
With more than 25 years of credit balance experience and a large, nationwide network of providers, we combine leading-edge technology with human expertise to help health plans resolve credit balances and maximize overpayment recovery. Our results:
- More than $15 billion in Credit Balance recoveries over the last 20 years
- 1,500 providers in our Credit Balance network
- 98% Credit Balance client retention rate
Industry insights
Article
Uncover the 4 major ways providers are leveraging AI and how this trend is changing payment integrity for health plans.
E-book
Learn about a modern and proactive approach to payment integrity for health plans.
White paper
Unpack key trends shaping the future of payment integrity and discover steps you can take to get started on your path to payment precision.
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