Paying accurately is hard.
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Payment Integrity

Payment Integrity, when used alongside our suite of Coordination of Benefits solutions, is a crucial element in our Payment Accuracy toolkit, enabling you to operate sustainably and at peak efficiency.

CMS defines payment integrity very simply: “pay it right.” We agree. Our Payment Integrity solutions help you avoid and recover improper payments, detect and prevent fraud, ensure regulatory compliance and make your plan stronger. We have the data, analytics and technology to identify improper payment trends as soon as they appear. We analyze all claim types and the widest array of billing issues in the industry. Over 850 expert clinicians and coders, work with more than 1,100 analysts and engineers to continuously develop innovative concepts to ensure our clients are maximizing their savings and payment accuracy.

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Payment Integrity
Solutions
Detect &
Prevent Fraud
Identify & Avoid
Improper Payments
Ensure Regulatory
Compliance
Recover
Overpayments
Increase Cost
Savings