Partnering to Establish a Holistic Payment Integrity Program
Because each claim represents a unique patient story, a good payment integrity program must be holistic. Let the 5Cs guide your approach.
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Meet the 5Cs of Payment Integrity
An out-of-the-box approach to an efficient payment integrity program should have capabilities across five key areas:
With the help of a strategic partner capable of supporting a holistic approach to payment integrity, health plans and TPAs can achieve new levels of efficiency and gain new insights into healthcare payments.
Ultimately, this approach will benefit providers and members and allow their organizations to stay competitive in a crowded marketplace.
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