Proven business results. Deep industry
expertise. Technology-driven insights.
Identify and recover payer inaccurate payments
Ensure accurate and timely payments
Provide a single-source for all cost containment efforts
Avoid member abrasion
Reduce total cost of recovery
Strengthen provider relationships
Tailored to your organizations’ needs, Conduent’s COB solution provides health plans the flexibility to focus on all or one line of business (i.e. commercial, Medicare, Medicaid) to optimize your current performance and resources.
Leveraging our extensive provider relationships, as well as our coding and claim expertise, we maximize overpayment recoveries by becoming an extension of the healthcare provider’s business office.
Whether you are in need of a total outsourced subrogation model, supplemental investigation efforts, or legal assistance, our subrogation services ensure the proper liable party is paying for applicable healthcare costs linked to medical and disability expenses related to accidents and other injuries.
Whether added on to an existing audit program or used as a stand-alone service, Conduent’s pharmacy audit and compliance services serve an important role in monitoring retail pharmacy operations by containing spiraling pharmacy expenses, returning overpayment money, and providing aggressive oversight and deterrence against fraud and abuse.