Payment Integrity

Maximizing claims cost savings by uncovering and reducing provider errors, waste and abuse.

We combine leading-edge, machine learning-enabled technology with superior clinical expertise and integrate network, claims and payments data to generate insights that drive actions that maximize claims cost savings.

We maximize claims cost savings by finding and reducing provider errors, waste and abuse using our proprietary claims editing, specialty clinical audits, dialysis savings, hospital bill review and audit and out-of-network solutions.