Info Sheets (Digital)

Pre-payment Analytics

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Complete post-adjudication, pre-payment identification and validation solution combines analytics with human touch to identify areas of incorrect payment before the payment is made to the provider. We use predictive, data-driven, integrated code edits and clinical aberrancy rules to spot potential mispayments. Expert claims processors validate and correct mispayments before they go out. Look for emerging patterns that help prevent future issues—increasing recoveries and reducing costs immediately.

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