We can help you capture more revenue and automate payment authorisations with proven toolsets for screening, scoring and coordinating benefits. Our solutions allow you to improve pre-pay screening and scoring for direct savings and scan for programme irregularities and billing anomalies. Plus, you can use advanced analytics to improve audit and recovery results and increase referrals using provider risk scorecards. Let’s get started.
Automate coordination of benefits with other carriers to verify eligibility, coverage, coding
Keep on top of changing federal and state regulatory mandates
Dynamic reporting of multiple performance indicators through automated workflow, dashboards
Implement effective detection, investigation, recovery services