Healthcare Payment Integrity Solutions
Proven business results. Deep industry expertise. Technology-driven insights powering healthcare payment integrity solutions.
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Recover overpayments with zero risk and minimal disruption. Combined with extensive industry expertise and a nationwide footprint, our healthcare payment integrity technology seamlessly integrates with multiple data sources and platforms to quickly recover the most funds possible for your company.
Conduent’s Healthcare Payment Integrity Solutions can:
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Identify and recover inaccurate payments
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Avoid member abrasion
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Reduce total cost of recovery
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Strengthen provider relationships
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Seamlessly oversee the entire process
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Complement existing efforts to find even more discrepancies
Our payment integrity services
Coordination of Benefits (COB) Services
Increase recoveries, quickly ID other insurance and update member records accessing multiple real-time data sources, including Centers for Medicare & Medicaid Services (CMS), National Association of Insurance Commissioners (NAIC) and more.
Credit Balance Services
Whether it’s onsite, digital or over the phone, our dedicated team validates credit balances, handles recoupment and recovers significant funds faster.
Subrogation Services
Our in-house attorneys and recovery specialists protect you from paying for medical and disability-related healthcare costs that are someone else’s responsibility by ensuring the correct party is held liable.
Pharmacy Audit and Compliance Services
From existing audit programs to stand-alone services, our secure portal helps contain spiralling expenses and identify real-time discrepancies and provider oversite.
